Organization
CENLA FAMILY MEDICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE L SLAUGHTER (ADMINISTRATOR)
(318) 776-9340
Entity
Organization
Contact information
Practice address
1610 WATER STREET, LECOMPTE, LA 71346
(318) 776-9340
(318) 776-8889
Mailing address
PO BOX 399, LECOMPTE, LA 71346-0399
(318) 776-9340
(318) 776-8889
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02164
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1441899
—
LA
Enumeration date
01/30/2007
Last updated
09/01/2009
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