Organization
SOUTH LOUISIANA PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUSTIN ALLEN LOGUE ANP (OWNER)
(225) 774-0733
Entity
Organization
Contact information
Practice address
12902 PLANK RD, BAKER, LA 70714-4911
(225) 218-4816
(225) 302-5057
Mailing address
12902 PLANK RD, BAKER, LA 70714-4911
(225) 774-0733
(225) 774-7777
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
AP06078
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2110691
—
LA
Enumeration date
08/24/2016
Last updated
07/08/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us