Organization
CLHG-LEESVILLE LLC
Active
Other names
Byrd Physician Practices
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN JAMES QUINN (CEO)
(337) 239-9041
Entity
Organization
Contact information
Practice address
1020 W FERTITTA BLVD, LEESVILLE, LA 71446-4645
(318) 239-9041
Mailing address
1020 W FERTITTA BLVD, LEESVILLE, LA 71446-4645
(318) 239-9041
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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