Organization
LIFECARE CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLUWATOYIN OLATINWO MD (OWNER / PROVIDER)
(318) 214-2200
Entity
Organization
Contact information
Practice address
740 KEYSER AVE, SUITE F, NATCHITOCHES, LA 71457-6037
(318) 354-0552
Mailing address
740 KEYSER AVE, SUITE F, NATCHITOCHES, LA 71457-6037
(318) 354-0552
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD203733
LA
Other
Enumeration date
06/10/2010
Last updated
06/10/2010
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