Organization
LOUISIANA PSYCHIATRIC CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY SANDERS M.D. (CEO MEDICAL DIRECTOR)
(225) 927-4504
Entity
Organization
Contact information
Practice address
5225 CAPITOL HEIGHTS AVE, SUITE 101, BATON ROUGE, LA 70806-6066
(225) 927-4504
Mailing address
5225 CAPITOL HEIGHTS AVE, SUITE 101, BATON ROUGE, LA 70806-6066
(225) 927-4504
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1443018
—
LA
Enumeration date
07/23/2006
Last updated
03/11/2010
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