Organization
PREMISE HEALTH OF LOUISANNA, PROFESSIONAL MEDICAL CORPORATION
Active
Other names
Coushatta Family Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN LEIZMAN M.D. (PRESIDENT)
(216) 479-9063
Entity
Organization
Contact information
Practice address
121 TURKEY LANE, KINDER, LA 70648
(337) 738-4414
(337) 738-7444
Mailing address
5500 MARYLAND WAY STE 200, BRENTWOOD, TN 37027-4973
(216) 479-9063
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/22/2006
Last updated
08/15/2022
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