# BELLE CHASSE FAMILY MEDICAL CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lawrence A Giamhelluca Hector M Cabrera
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750492898
- **Authorized official:** KATHRYN LETULLE (BILLING SUPERVISOR)
- **Authorized official phone:** (504) 398-1100

## Contact information

- **Practice address:** 8200 HWY 23, BELLE CHASSE, LA 70037
- **Practice address phone:** (504) 398-1100
- **Practice address fax:** (504) 398-1030
- **Mailing address:** 8200 HWY 23, BELLE CHASSE, LA 70037
- **Mailing address phone:** (504) 398-1100
- **Mailing address fax:** (504) 398-1030

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 13819R | LA | Yes |
| 207Q00000X | Family Medicine Physician | L015363 | LA | — |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 08/16/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1319627 | — | LA |
| 05 | — | 1439151 | — | LA |
| 05 | — | 1441392 | — | LA |
| 05 | — | 1572292 | — | LA |