Organization
ANN B TUBRE, LOTR
Active
Other names
ANN B TUBRE
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA D GOODWIN (OFFICE MGR)
(318) 366-9680
Entity
Organization
Contact information
Practice address
226 CALDWELL RD, WEST MONROE, LA 71291-1627
(318) 235-4541
(318) 410-4351
Mailing address
226 CALDWELL RD, WEST MONROE, LA 71291-1627
(318) 235-4541
(318) 410-4351
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
Z10523
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1199401
—
LA
Enumeration date
03/27/2008
Last updated
03/27/2008
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