Organization
LAFOURCHE PARISH HOSPITAL SERVICE DISTRICT NO. 1
Active
Parent organization
LAFOURCHE PARISH HOSPITAL SERVICE DISTRICT 1 LADY OF THE SEA GEN. HOSP
Other names
Lady of the Sea Medical Clinic - Golden Meadow
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAFOURCHE PARISH HOSPITAL SERVICE DISTRICT 1 LADY OF THE SEA GEN. HOSP
Authorized official
TAD A. LAFONT RN (DIRECTOR OF PRACTICE MANAGEMENT)
(985) 325-9300
Entity
Organization
Contact information
Practice address
176 WASHINGTON ST, GOLDEN MEADOW, LA 70357-2938
(985) 475-5200
(985) 475-5664
Mailing address
176 WASHINGTON ST, GOLDEN MEADOW, LA 70357-2938
(985) 475-5200
(985) 475-5664
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1459259
—
LA
01
—
5CH34
MEDICARE PART B
LA
Enumeration date
05/27/2006
Last updated
01/11/2022
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