Organization
PREMISE HEALTH OF LOUISANNA, PROFESSIONAL MEDICAL CORPORATION
Active
Other names
LyondellBasell - Lake Charles Polymers Health and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
JON LEIZMAN MD (PRESIDENT)
(216) 479-9063
Entity
Organization
Contact information
Practice address
4101 HWY 108 SOUTH EAST GATE, WESTLAKE, LA 70669-8017
(337) 439-7324
(337) 439-7345
Mailing address
16906 COLLECTION CENTER DR, CHICAGO, IL 60693-0169
(877) 865-9013
(337) 439-7345
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
—
Other
Enumeration date
02/01/2013
Last updated
08/15/2022
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