Organization
IDEAL ME OF HAMMOND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEMAR FRANKLIN MARSHALL (CHIEF OPERATIONS OFFICER)
(985) 542-0663
Entity
Organization
Contact information
Practice address
15748 MEDICAL ARTS DR, HAMMOND, LA 70403-1446
(985) 542-0663
(985) 542-0698
Mailing address
15748 MEDICAL ARTS DR, HAMMOND, LA 70403-1446
(985) 542-0663
(985) 542-0698
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
001293
LA
Other
Enumeration date
10/10/2012
Last updated
10/10/2012
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