Organization
LOUISIANA CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISHA C FALK (VP OF CONTRACTING)
(800) 893-9696
Entity
Organization
Contact information
Practice address
103 W MARTIAL AVE, LAFAYETTE, LA 70508-6719
(337) 981-5335
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
04/20/2020
Last updated
05/17/2021
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