# CENTRAL LOUISIANA 'CENLA' NEUROLOGY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578737763
- **Authorized official:** CHARLES C UGOKWE MD (MEDICAL DOCTOR)
- **Authorized official phone:** (318) 473-0773

## Contact information

- **Practice address:** 3311 PRESCOTT RD, SUITE 311, ALEXANDRIA, LA 71301-3900
- **Practice address phone:** (318) 473-0773
- **Practice address fax:** (318) 473-0836
- **Mailing address:** PO BOX 12911, ALEXANDRIA, LA 71315-2911
- **Mailing address phone:** (318) 473-0773
- **Mailing address fax:** (318) 473-0836

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | 13814R | LA | Yes |

## Other

- **Enumeration date:** 04/17/2008
- **Last updated:** 04/17/2008