Organization
GROWING UP CHILDREN'S CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAPHNE ANN COLLINS (OFFICE MANAGER)
(504) 392-2580
Entity
Organization
Contact information
Practice address
145 LAPALCO BLVD, SUITE B, GRETNA, LA 70056-7149
(504) 392-2580
(504) 392-2527
Mailing address
145 LAPALCO BLVD, SUITE B, GRETNA, LA 70056-7149
(504) 392-2580
(504) 392-2527
Taxonomy
Speciality
Code
Description
License number
State
202C00000X
Independent Medical Examiner Physician
Primary
023017
LA
Other
Enumeration date
06/24/2008
Last updated
06/24/2008
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