Organization
AXIA MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LLOYD LEONARDS MD (OWNER)
(337) 580-9171
Entity
Organization
Contact information
Practice address
37325 MARKET PLACE DR STE D, PRAIRIEVILLE, LA 70769-3499
(337) 580-9171
Mailing address
37325 MARKET PLACE DR STE D, PRAIRIEVILLE, LA 70769-3499
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1B9754
MEDICARE
—
Enumeration date
02/24/2022
Last updated
02/24/2022
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