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Organization
LINCOLN FAMILY HEALTH CLINIC, LLC
Active
Organization
LINCOLN FAMILY HEALTH CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFERY A BENNETT D. O. PHARMACY (OWNER)
(318) 251-6385
Entity
Organization
Contact information
Practice address
604 BELUE LANE, SUITE B, RUSTON, LA 71270
(318) 251-6385
(318) 255-7530
Mailing address
1003 WHITE ST, RUSTON, LA 71270
(318) 251-6385
(318) 255-7530
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/27/2007
Last updated
08/22/2020
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