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Organization

BELLE CHASSE FAMILY MEDICAL CLINIC

Active
Other names
Lawrence A Giamhelluca Hector M Cabrera
Organization subpart
No

Provider details

NPI number
Authorized official
KATHRYN LETULLE (BILLING SUPERVISOR)
(504) 398-1100
Entity
Organization

Contact information

Practice address
8200 HWY 23, BELLE CHASSE, LA 70037
(504) 398-1100
(504) 398-1030
Mailing address
8200 HWY 23, BELLE CHASSE, LA 70037
(504) 398-1100
(504) 398-1030

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13819R
LA
207Q00000X
Family Medicine Physician
L015363
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1319627
LA
05
1439151
LA
05
1441392
LA
05
1572292
LA
Enumeration date
08/31/2006
Last updated
08/16/2011
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