Organization
INTEGRITY FAMILY MEDICINE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATRICE DUNN (MANAGER)
(318) 429-2443
Entity
Organization
Contact information
Practice address
1800 BUCKNER ST STE A120, SHREVEPORT, LA 71101-4440
(318) 429-2443
(318) 429-2440
Mailing address
PO BOX 374, MINDEN, LA 71058-0374
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
08/29/2019
Last updated
12/07/2019
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