Organization
LOUISIANA FAMILY PRACTICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MATTHEW RAINEY M.D. (MEMBER)
(318) 441-8309
Entity
Organization
Contact information
Practice address
504 JACK MILLER RD, SUITE 5, VILLE PLATTE, LA 70586-5600
(337) 363-8991
(337) 363-1517
Mailing address
6314 BAYOU CROSSING DR, ALEXANDRIA, LA 71303-7028
(337) 258-7178
(318) 441-8309
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
GETP.200094
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1099619
—
LA
Enumeration date
05/21/2010
Last updated
05/21/2010
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