Organization
LOUISIANA MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY BRIAN SONNIER (OWNER)
(225) 292-1969
Entity
Organization
Contact information
Practice address
10466 AIRLINE HWY STE C, BATON ROUGE, LA 70816-4047
(225) 292-1969
(225) 292-1960
Mailing address
10466 AIRLINE HWY STE C, BATON ROUGE, LA 70816-4047
(225) 292-1969
(225) 292-1960
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
01/19/2011
Last updated
01/19/2011
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