Organization
LICE CLINICS OF AMERICA OF NORTH LOUISIANA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REBEKAH GAY (MANAGER)
(318) 243-7213
Entity
Organization
Contact information
Practice address
2519 N 7TH ST STE 2, WEST MONROE, LA 71291-5125
(318) 582-5929
(318) 582-5959
Mailing address
2519 N 7TH ST STE 2, WEST MONROE, LA 71291-5125
(318) 582-5929
(318) 582-5959
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
05/25/2017
Last updated
07/21/2022
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