Organization
LEMICO
Active
Other names
alternative concept care services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WAYNE WALLACE PATRICK (DIRECTOR)
(318) 388-2203
Entity
Organization
Contact information
Practice address
3001 ARMAND ST, MONROE, LA 71201-3754
(318) 388-2203
(318) 388-2062
Mailing address
3001 ARMAND ST, MONROE, LA 71201-3754
(318) 388-2203
(318) 388-2062
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
15252
LA
Other
Enumeration date
12/14/2009
Last updated
12/14/2009
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