Organization
MEDLEADERS LLC
Active
Other names
The Taylor Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. COURTNEY LEIGH ALTAZIN (OPERATIONS MANAGER)
(225) 243-6997
Entity
Organization
Contact information
Practice address
8369 FLORIDA BLVD, SUITE 9, DENHAM SPRINGS, LA 70726-7862
(225) 243-6997
(225) 243-7157
Mailing address
PO BOX 78070, BATON ROUGE, LA 70837-8070
(225) 243-6997
(225) 243-7157
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
025596
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025596
LICENSE NUMBER
LA
Enumeration date
01/20/2016
Last updated
01/20/2016
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