Organization
LAGNIAPPE MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ATNENA LUSTER NP (OWNER)
(985) 771-2221
Entity
Organization
Contact information
Practice address
201 GREENBRIER BLVD, COVINGTON, LA 70433-7236
(985) 771-2221
Mailing address
PO BOX 957, MADISONVILLE, LA 70447-0957
(985) 771-2221
(844) 713-8349
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
—
—
2084P0800X
Psychiatry Physician
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/16/2018
Last updated
08/16/2018
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