Organization
CLHG-LEESVILLE
Active
Other names
West Louisiana Family Practice-Deridder
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD E. CAMERON (BOARD MEMBER)
(318) 226-8202
Entity
Organization
Contact information
Practice address
412 S PINE ST, DERIDDER, LA 70634-4840
(337) 462-5700
(337) 462-6856
Mailing address
1020 W FERTITTA BLVD, LEESVILLE, LA 71446-4645
(337) 239-9401
(318) 239-5360
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/21/2019
Last updated
03/16/2023
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