Organization
HSA LOUISIANA PHYSICIAN GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AIMEE GILL (DEPUTY GENERAL COUNSEL)
(818) 666-0602
Entity
Organization
Contact information
Practice address
503 MCMILLAN RD, WEST MONROE, LA 71291-5327
(318) 329-4200
Mailing address
503 MCMILLAN RD, WEST MONROE, LA 71291-5327
(318) 329-4200
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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