Organization
FREEMAN CLINIC LLC
Active
Parent organization
FREEMAN CLINIC LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FREEMAN CLINIC LLC
Authorized official
DR. MARK E FREEMAN MD (OWNER/ MEDICAL DIRECTOR)
(337) 484-1178
Entity
Organization
Contact information
Practice address
151 SOUTHPARK RD STE 101, LAFAYETTE, LA 70508-2900
(337) 484-1178
(337) 534-8311
Mailing address
151 SOUTHPARK RD STE 101, LAFAYETTE, LA 70508-2900
(337) 484-1178
(337) 534-8311
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
192168
—
LA
Enumeration date
12/23/2021
Last updated
05/04/2022
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