Organization
LILY PAD PEDIATRICS, LLC
Active
Other names
Lily Pad Pediatrics, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE CLARK (BILLING MANAGER)
(337) 942-4453
Entity
Organization
Contact information
Practice address
153 TOWN BOULEVARD, OPELOUSAS, LA 70570
(337) 942-4453
Mailing address
153 TOWN BOULEVARD, OPELOUSAS, LA 70570
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/13/2016
Last updated
04/02/2024
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