Organization
CARLOCK ENTERPRISES LLC
Active
Parent organization
CARLOCK ENTERPRISES LLC
Other names
Carlock Family Medical Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
CARLOCK ENTERPRISES LLC
Authorized official
MR. VICTOR VANCE CARLOCK NP (PROVIDER / OWNER)
(337) 238-5180
Entity
Organization
Contact information
Practice address
1100 NOLAN TRACE, LEESVILLE, LA 71446
(337) 238-5180
(318) 759-0828
Mailing address
1100 NOLAN TRACE, LEESVILLE, LA 71446
(337) 238-5180
(337) 238-4840
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
LA
363L00000X
Nurse Practitioner
—
LA
363LF0000X
Family Nurse Practitioner
—
LA
363LP2300X
Primary Care Nurse Practitioner
—
LA
Other
Enumeration date
11/05/2012
Last updated
05/20/2025
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