# LSUMC-S FAMILY PRACTICE MEDICAL CENTER IN ALEXANDRIA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LSUHSC-S Family Medicine Residency Program
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942889852
- **Authorized official:** LEISA P OGLESBY (EXECUTIVE DIR FOR MEDICAL SERVICES)
- **Authorized official phone:** (318) 675-7629

## Contact information

- **Practice address:** 301 4TH ST STE A, ALEXANDRIA, LA 71301-8411
- **Practice address phone:** (318) 441-1030
- **Practice address fax:** (318) 441-1050
- **Mailing address:** PO BOX 735328, DALLAS, TX 75373-5328
- **Mailing address phone:** (318) 441-1030
- **Mailing address fax:** (318) 441-1050

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/07/2021
- **Last updated:** 04/07/2021