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Organization
ST. JAMES PARISH HOSP SERV DIST
Active
Organization
ST. JAMES PARISH HOSP SERV DIST
Active
Other names
Poche' Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ELLEN G PRATT (CEO)
(225) 258-5990
Entity
Organization
Contact information
Practice address
1645 LUTCHER AVE, LUTCHER, LA 70071-5150
(225) 869-3493
(225) 869-9333
Mailing address
1645 LUTCHER AVE, LUTCHER, LA 70071-5150
(225) 258-5906
(225) 869-5271
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/31/2013
Last updated
05/08/2017
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