Organization
LOUISIANA MEDICINE AND GERATRICS ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUNIL PREM M.D. (PRESIDENT)
(318) 388-0440
Entity
Organization
Contact information
Practice address
1503 STUBBS AVE, MONROE, LA 71201-5627
(318) 388-0440
(318) 388-0330
Mailing address
1503 STUBBS AVE, MONROE, LA 71201-5627
(318) 388-0440
(318) 388-0330
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
L12718R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1542555
—
LA
Enumeration date
03/21/2007
Last updated
08/22/2020
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