Organization
LAKE ARTHUR HEALTH CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA K MONLEZUN CFNP (ADMINISTRATOR)
(337) 774-0100
Entity
Organization
Contact information
Practice address
328 KELLOGG AVE, LAKE ARTHUR, LA 70549-4116
(337) 774-0100
(337) 774-0111
Mailing address
PO BOX 765, LAKE ARTHUR, LA 70549-0765
(337) 774-0100
(337) 774-0111
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APO2500
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1442488
—
LA
Enumeration date
12/06/2005
Last updated
03/07/2023
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