Organization
EUNICE MEDICAL CENTER LAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE BOB COURVILLE LMT (SUPERVISOR/OWNER)
(337) 457-5562
Entity
Organization
Contact information
Practice address
301 N MARTIN LUTHER KING DR, SUITE B, EUNICE, LA 70535-3644
(337) 457-5562
(337) 550-7141
Mailing address
301 N MARTIN LUTHER KING DR, SUITE B, EUNICE, LA 70535-3644
(337) 457-5562
(337) 550-7141
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
291U00000X
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1036251
—
LA
01
—
F2624
BLUE CROSS BLUE SHIELD
LA
Enumeration date
06/29/2005
Last updated
08/22/2020
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