Organization
LULING URGENT CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH LEBLANC (CEO)
(504) 846-3150
Entity
Organization
Contact information
Practice address
3510 N CAUSEWAY BLVD, SUITE 110, METAIRIE, LA 70002-3531
(504) 846-3150
Mailing address
12895 HIGHWAY 90, SUITE H, LULING, LA 70070-2249
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2352164
—
LA
01
—
5DX84
MEDICARE ID
LA
Enumeration date
01/18/2012
Last updated
10/02/2014
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