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Organization
LAFOURCHE MEDICAL GROUP LLC
Active
Organization
LAFOURCHE MEDICAL GROUP LLC
Active
Other names
St Charles Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN LIM MD (OWNER)
(985) 235-0010
Entity
Organization
Contact information
Practice address
13100 RIVER RD, SUITE 100, DESTREHAN, LA 70047-5203
(985) 235-0010
Mailing address
13100 RIVER RD, SUITE 100, DESTREHAN, LA 70047-5203
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/29/2016
Last updated
01/29/2016
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