Organization
LUCI,S TROOP LTC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LUCIANA ST. JULIEN (OWNER/DIRECTOR)
(337) 234-7031
Entity
Organization
Contact information
Practice address
111 RUBRIA ST, LAFAYETTE, LA 70501-1735
(337) 234-7031
(337) 261-0524
Mailing address
111 RUBRIA ST, LAFAYETTE, LA 70501
(337) 234-7031
(337) 261-0524
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720968
—
LA
Enumeration date
06/28/2010
Last updated
06/28/2010
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