Organization
LACAM ENTERPRISE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES DERRICK ELY (OWNER)
(318) 925-9181
Entity
Organization
Contact information
Practice address
5258 DANTON PLACE, KEITHVILLE, LA 71047
(318) 925-9181
(318) 925-9180
Mailing address
5258 DANTON PLACE, KEITHVILLE, LA 71047
(318) 925-9181
(318) 925-9180
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/07/2009
Last updated
05/07/2009
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