Organization
DOWNTOWN PHYSICAL REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEOFF LUKE LEJEUNE PT (OWNER)
(225) 383-5021
Entity
Organization
Contact information
Practice address
160 N 8TH ST, BATON ROUGE, LA 70802-5600
(225) 383-5021
(225) 383-5023
Mailing address
160 N 8TH ST, BATON ROUGE, LA 70802-5600
(225) 383-5021
(225) 383-5023
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02288
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN3468
RAILROAD MEDICARE GROUP PTAN
LA
01
—
P00615413
RAILROAD MEDICARE MEMBER PTAN
LA
Enumeration date
10/19/2006
Last updated
09/19/2008
Update your record
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