Organization
LOUISIANA PAIN CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN L LEDBETTER M.D. (PHYICIAN - OWNER)
(318) 323-6405
Entity
Organization
Contact information
Practice address
210 LAYTON AVE STE 20, MONROE, LA 71201-8548
(318) 323-6405
(318) 410-8290
Mailing address
210 LAYTON AVE, MONROE, LA 71201-8548
(318) 323-6405
(318) 410-8290
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1441538
—
LA
Enumeration date
07/01/2006
Last updated
05/25/2011
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