# LAFOURCHE MEDICAL GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** St Charles Urgent Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750749263
- **Authorized official:** DR. STEPHEN LIM MD (OWNER)
- **Authorized official phone:** (985) 235-0010

## Contact information

- **Practice address:** 13100 RIVER RD, SUITE 100, DESTREHAN, LA 70047-5203
- **Practice address phone:** (985) 235-0010
- **Mailing address:** 13100 RIVER RD, SUITE 100, DESTREHAN, LA 70047-5203

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/29/2016
- **Last updated:** 01/29/2016