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Organization
LSAHSC EARL K. LONG MEDICAL CENTER
Active
Organization
LSAHSC EARL K. LONG MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAMILLE ELSBURY CPCS (EKL MEDICAL STAFF DEPT. MANAGER)
(225) 354-2051
Entity
Organization
Contact information
Practice address
1401 N FOSTER DR, BATON ROUGE, LA 70806-1818
(225) 987-9013
Mailing address
17010 ABITA AVENUE, PRAIRIEVILLE, LA 70769
(225) 266-5177
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
DPM.PD0105
LA
Other
Enumeration date
01/05/2007
Last updated
08/22/2020
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