Organization
RENAL SERVICES OF NORTHEAST LOUISIANA A PROF MED CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY THOMAS OLINDE M.D. (PHYSICIAN/OWNER)
(318) 325-5435
Entity
Organization
Contact information
Practice address
1908 ROYAL AVE, MONROE, LA 71201-5724
(318) 325-5435
(318) 325-8852
Mailing address
1908 ROYAL AVE, MONROE, LA 71201-5724
(318) 325-5435
(318) 325-8852
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
18516
LA
Other
Enumeration date
11/10/2010
Last updated
11/10/2010
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