# LOUISIANA STAT CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891517512
- **Authorized official:** MRS. AMANDA WOODARD (OWNER)
- **Authorized official phone:** (225) 261-4493

## Contact information

- **Practice address:** 11055 SHOE CREEK DR, BATON ROUGE, LA 70818-4022
- **Practice address phone:** (225) 261-4493
- **Mailing address:** 11055 SHOE CREEK DR, BATON ROUGE, LA 70818-4022
- **Mailing address phone:** (225) 261-4493

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |
| 261QU0200X | Urgent Care Clinic/Center | — | — | — |

## Other

- **Enumeration date:** 10/25/2024
- **Last updated:** 01/14/2025