Organization
THE FOOT CLINIC OF WEST LOUISIANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE HARVEY (BUSINESS MANAGER)
(337) 239-1061
Entity
Organization
Contact information
Practice address
1108 PORT ARTHUR TER, LEESVILLE, LA 71446-4600
(337) 239-1061
(337) 239-1062
Mailing address
1029 KEYSER AVE, NATCHITOCHES, LA 71457-6239
(337) 239-1061
(337) 239-1062
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1668184
—
LA
Enumeration date
10/31/2011
Last updated
10/31/2011
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