Organization
LAFOURCHE MEDICAL GROUP LLC
Active
Other names
St Charles Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN LIM MD (OWNER)
(985) 235-0010
Entity
Organization
Contact information
Practice address
13100 RIVER RD, SUITE 100, DESTREHAN, LA 70047-5203
(985) 235-0010
Mailing address
13100 RIVER RD, SUITE 100, DESTREHAN, LA 70047-5203
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/29/2016
Last updated
01/29/2016
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