# CLHG-LEESVILLE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** West Louisiana Obstetrics and Gynecology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598327892
- **Authorized official:** DONALD E. CAMERON (BOARD MEMBER)
- **Authorized official phone:** (318) 226-8202

## Contact information

- **Practice address:** 927 VERONE TER, LEESVILLE, LA 71446-4255
- **Practice address phone:** (337) 238-1049
- **Mailing address:** 1020 W FERTITTA BLVD, LEESVILLE, LA 71446-4645
- **Mailing address phone:** (337) 239-5274

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/08/2019
- **Last updated:** 03/16/2023