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Organization

AMANDA LACOMB MD PMC

Active
Other names
LaComb Family Medicine
Organization subpart
No

Provider details

NPI number
Authorized official
AMANDA MARIE LACOMB M.D. (OWNER)
(337) 824-8868
Entity
Organization

Contact information

Practice address
1322 ELTON RD, SUITE F, JENNINGS, LA 70546
(337) 824-8868
(337) 824-8829
Mailing address
PO BOX 719, JENNINGS, LA 70546
(337) 824-8868
(337) 824-8829

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
023135
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1446521
LA
05
1491667
LA
Enumeration date
03/20/2007
Last updated
08/29/2011
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