Organization
EVANGELINE PRIMARY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFERY JAKE LAFLEUR MD (OWNER)
(337) 363-7036
Entity
Organization
Contact information
Practice address
503 JACK MILLER RD, VILLE PLATTE, LA 70586-5607
(337) 363-7036
Mailing address
503 JACK MILLER RD, VILLE PLATTE, LA 70586-5607
(337) 363-7036
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD025579
LA
Other
Enumeration date
04/19/2010
Last updated
04/19/2010
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