Organization
INTEGRATED CARE PROFESSIONALS OF LOUSIANA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODNEY THOMASON (AUTHORIZED OFFICIAL)
(501) 406-6180
Entity
Organization
Contact information
Practice address
336 LONEWA ROAD, MONROE, LA 71203-2028
(501) 492-0099
(479) 968-1673
Mailing address
PO BOX 9178, RUSSELLVILLE, AR 72811-9178
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/08/2019
Last updated
04/28/2023
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