Organization
THE PRIMARY CARE GROUP OF EAST JEFFERSON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN A SANTA ANA MHA, MBA (EXECUTIVE DIRECTOR)
(504) 454-5396
Entity
Organization
Contact information
Practice address
4315 HOUMA BLVD, SUITE 204, METAIRIE, LA 70006-2940
(504) 454-5396
(504) 456-8151
Mailing address
4420 CONLIN ST, SUITE 304, METAIRIE, LA 70006-2167
(504) 454-5396
(504) 456-8151
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/13/2006
Last updated
08/22/2020
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