Organization
TIMOTHY J. DONOVAN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY J. DONOVAN M.D. (PHYSICIAN)
(337) 239-2600
Entity
Organization
Contact information
Practice address
103 W UNIVERSITY PKWY, LEESVILLE, LA 71446-4734
(337) 239-2600
(337) 239-2601
Mailing address
103 W UNIVERSITY PKWY, LEESVILLE, LA 71446-4734
(337) 239-2600
(337) 239-2601
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
AP08929
LA
261QU0200X
Urgent Care Clinic/Center
AP08929
LA
Other
Enumeration date
08/20/2016
Last updated
08/20/2016
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