Organization
LSAHSC EARL K. LONG MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAMILLE ELSBURY CPCS (EKL MEDICAL STAFF DEPT. MANAGER)
(225) 354-2051
Entity
Organization
Contact information
Practice address
1401 N FOSTER DR, BATON ROUGE, LA 70806-1818
(225) 987-9013
Mailing address
17010 ABITA AVENUE, PRAIRIEVILLE, LA 70769
(225) 266-5177
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
DPM.PD0105
LA
Other
Enumeration date
01/05/2007
Last updated
08/22/2020
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