Organization
NESOM FAMILY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AARON LOUIS LIRETTE MD (OWNER/PARTNER)
(318) 335-4881
Entity
Organization
Contact information
Practice address
400 E 6TH AVE, OAKDALE, LA 71463-2628
(318) 335-4881
(318) 335-4544
Mailing address
400 E 6TH AVE, OAKDALE, LA 71463-2628
(318) 335-4881
(318) 335-4544
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1441660
—
LA
Enumeration date
09/20/2006
Last updated
08/22/2020
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