Organization
CANE RIVER FAMILY MEDICINE A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM B LUSTER MD (MD/OWNER)
(318) 402-1483
Entity
Organization
Contact information
Practice address
617 BIENVILLE ST, SUITE B, NATCHITOCHES, LA 71457
(318) 238-6401
Mailing address
PO BOX 488, NATCHITOCHES, LA 71457
(318) 238-6401
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD.204308
LA
Other
Enumeration date
03/17/2016
Last updated
05/20/2016
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