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Organization
TOTAL FAMILY MEDICAL, LLC
Active
Organization
TOTAL FAMILY MEDICAL, LLC
Active
Parent organization
TOTAL FAMILY MEDICAL, LLC
Other names
Total Family Medical of Loranger
Organization subpart
Yes
Provider details
NPI number
Legal business name
TOTAL FAMILY MEDICAL, LLC
Authorized official
MARY GAUTREAU (ADMINISTRATOR)
(504) 236-5311
Entity
Organization
Contact information
Practice address
54002 HIGHWAY 1062, LORANGER, LA 70446-3538
(504) 236-5311
Mailing address
44354 HIGHWAY 445 STE D, ROBERT, LA 70455-1999
(985) 542-2466
(985) 542-2755
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
LA
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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