Organization
LAFOURCHE PARISH HOSPITAL SERVICE DISTRICT NO. 1
Active
Other names
Lady of the Sea Medical Clinic - Fourchon
Organization subpart
No
Provider details
NPI number
Authorized official
TAD A LAFONT RN (CHIEF CLINIC OFFICER)
(985) 325-9300
Entity
Organization
Contact information
Practice address
180-B A.O. RAPPELET ROAD, GOLDEN MEADOW, LA 70357
(985) 396-5250
(985) 396-5252
Mailing address
200 W 134TH PL, CUT OFF, LA 70345-4143
(985) 325-9300
(985) 632-1029
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2436490
—
LA
Enumeration date
06/10/2016
Last updated
01/11/2022
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