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Organization

PEDIATRIC CLINIC OF NORTHEAST LA A MEDICAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FRANCES MEADE O'BOYLE (PRESIDENT)
(318) 325-0483
Entity
Organization

Contact information

Practice address
1601 LAMY LN, MONROE, LA 71201-3735
(318) 387-3453
(318) 323-9045
Mailing address
1217 DEAN CHAPEL RD, WEST MONROE, LA 71291-7609

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
12/21/2007
Last updated
12/28/2007
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