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Organization

GIAMBELLUCA MEDICAL CLINIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAWRENCE A GIAMBELLUCA M.D. (OWNER)
(504) 393-0610
Entity
Organization

Contact information

Practice address
8732 HIGHWAY 23, BELLE CHASSE, LA 70037
(504) 393-0610
(504) 393-0710
Mailing address
8732 HIGHWAY 23, BELLE CHASSE, LA 70037-2228
(504) 393-0610
(504) 393-0710

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1319627
LA
Enumeration date
01/26/2015
Last updated
05/29/2018
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