Organization
LAFOURCHE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN LIM M.D. (MEDICAL DIRECTOR)
(504) 982-2536
Entity
Organization
Contact information
Practice address
4912 HIGHWAY 1, RACELAND, LA 70394-2559
(985) 242-3094
(985) 242-3093
Mailing address
4912 HIGHWAY 1, RACELAND, LA 70394-2559
(985) 242-3094
(985) 242-3093
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
LA
Other
Enumeration date
05/17/2015
Last updated
05/17/2015
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