Organization
LAROUGE HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EBONY BROWN (CHIEF EXECUTIVE OFFICER)
(833) 262-1101
Entity
Organization
Contact information
Practice address
9800 AIRLINE HWY STE 233, BATON ROUGE, LA 70816-8195
(833) 262-1101
(844) 927-4527
Mailing address
PO BOX 485, BAKER, LA 70704-0485
(225) 955-1707
(225) 341-8763
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
11/10/2020
Last updated
12/20/2022
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