Organization
FORESTER LYME TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERYL BARTEL FORESTER (MEMBER, SECRETARY)
(318) 641-0865
Entity
Organization
Contact information
Practice address
2809 DONAHUE FERRY RD, PINEVILLE, LA 71360-4513
(318) 641-0865
(318) 640-3290
Mailing address
2809 DONAHUE FERRY RD, PINEVILLE, LA 71360-4513
(318) 641-0865
(318) 640-3290
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD06029R
LA
Other
Enumeration date
08/20/2016
Last updated
08/20/2016
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