Organization
ALETA N. DE CLOUET, M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALETA NATASHA DECLOUET M.D. (OWNER)
(985) 781-7577
Entity
Organization
Contact information
Practice address
659 BROWNSWITCH ROAD, SLIDELL, LA 70458-1233
(985) 781-7577
(985) 781-7579
Mailing address
659 BROWNSWITCH ROAD, SLIDELL, LA 70458-1233
(985) 781-7577
(985) 781-7579
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
10807R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05933747
—
MS
01
—
134322740
UNITED HEALTHCARE
—
05
—
1534633
—
LA
01
—
436511262D
BLUE CROSS/BLUE SHIELD OF LA
LA
Enumeration date
02/01/2008
Last updated
11/04/2010
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