Organization
CLHG-LEESVILLE
Active
Other names
West Louisiana Family Practice - Leesville
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN JAMES QUINN (CEO)
(337) 239-9041
Entity
Organization
Contact information
Practice address
1201 W FERTITTA BLVD, LEESVILLE, LA 71446-4637
(337) 392-9438
Mailing address
1201 W FERTITTA BLVD, LEESVILLE, LA 71446-4637
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/17/2023
Last updated
12/16/2024
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