Organization
LIFE COAST COMMUNITY HEALTH CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE WEBRE (CLINIC MANAGER)
(985) 492-6170
Entity
Organization
Contact information
Practice address
504 N ACADIA RD, THIBODAUX, LA 70301-4862
(985) 492-6170
Mailing address
504 N ACADIA RD, THIBODAUX, LA 70301-4862
(985) 492-6170
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/04/2019
Last updated
09/18/2025
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