# LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HPL Family Medicine Clinics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871765982
- **Authorized official:** MRS. MELANIE H SOTAK MHSA (DIRECTOR OF MANAGED CARE)
- **Authorized official phone:** (318) 675-5000

## Contact information

- **Practice address:** 2351 VANDENBURG DRIVE, ALEXANDRIA, LA 71311
- **Practice address phone:** (318) 675-7737
- **Practice address fax:** (318) 675-5666
- **Mailing address:** 1501 KINGS HWY, SHARED BILLING SERVICES, SHREVEPORT, LA 71103-4228
- **Mailing address phone:** (318) 675-5000
- **Mailing address fax:** (318) 675-5666

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 142 | LA | Yes |

## Other

- **Enumeration date:** 03/28/2008
- **Last updated:** 03/28/2008