# LOUISIANA STAT CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LOUISIANA STAT CARE PCP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922815240
- **Authorized official:** NORMAN GLEN NEAL MD (MD)
- **Authorized official phone:** (504) 909-0193

## Contact information

- **Practice address:** 11055 SHOE CREEK DR, BATON ROUGE, LA 70818-4022
- **Practice address phone:** (225) 261-4493
- **Practice address fax:** (866) 657-2791
- **Mailing address:** 11055 SHOE CREEK DR, BATON ROUGE, LA 70818-4022
- **Mailing address phone:** (225) 261-4493
- **Mailing address fax:** (866) 657-2791

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/11/2024
- **Last updated:** 12/11/2024