Organization
FREEMAN CLINIC LLC
Active
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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