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Organization

LUTCHER FAMILY CLINIC

Active
Parent organization
ST JAMES PARISH HOSP SERV DIST
Organization subpart
Yes

Provider details

NPI number
Legal business name
ST JAMES PARISH HOSP SERV DIST
Authorized official
DR. CULLEN M OCMOND MD (PHYSICIAN)
(225) 869-9890
Entity
Organization

Contact information

Practice address
1731 LUTCHER AVE, LUTCHER, LA 70071-0000
(225) 869-9890
(225) 869-3822
Mailing address
1731 LUTCHER AVE, LUTCHER, LA 70071-0000
(225) 869-9890
(225) 869-3822

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
203080
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1053588467
DR'S NPI
LA
05
1072940
LA
Enumeration date
06/07/2010
Last updated
07/09/2012
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