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Organization

COMPANY CLINIC OF LOUISIANA, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TAMMIE LOWE (CFO)
(318) 741-5858
Entity
Organization

Contact information

Practice address
5015 SHED RD, SUITE 500, BOSSIER CITY, LA 71111-5584
(318) 741-5858
(318) 741-4496
Mailing address
PO BOX 5257, BOSSIER CITY, LA 71171-5257
(318) 741-5858
(318) 946-8767

Taxonomy

Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary

Other

Enumeration date
03/16/2012
Last updated
02/13/2015
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