Organization
RUSTON LOUISIANA HOSPITAL COMPANY LLC
Active
Other names
Cancer Institute of Northern Louisiana Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE BREWER (DIRECTOR)
(877) 892-9813
Entity
Organization
Contact information
Practice address
401 E VAUGHN AVE, RUSTON, LA 71270-5950
(318) 254-2100
Mailing address
7100 COMMERCE WAY, SUITE 180, BRENTWOOD, TN 37027-2829
(877) 892-9813
(615) 465-3007
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
08523R
LA
Other
Enumeration date
04/23/2007
Last updated
02/26/2008
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