Organization
LEADING EDGE SERVICES INTERNATIONAL, INC.
Active
Other names
Family Health Center-Louisiana
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONIA IMUDIA (EXECUTIVE DIRECTOR)
(504) 468-6645
Entity
Organization
Contact information
Practice address
3715 WILLIAMS BLVD, SUITE100, KENNER, LA 70065-3075
(504) 468-6645
(504) 468-6646
Mailing address
3715 WILLIAMS BLVD, SUITE100, KENNER, LA 70065-3075
(504) 468-6645
(504) 468-6646
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
4128
LA
Other
Enumeration date
12/13/2006
Last updated
08/22/2020
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