Organization
LAFOURCHE PARISH HOSPITAL SERVICE DISTRICT NO. 1
Active
Other names
Lady of the Sea Medical Clinic - Cut Off
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TAD A LAFONT RN (CHIEF CLINIC OFFICER)
(985) 632-6401
Entity
Organization
Contact information
Practice address
144 W 134TH PL, CUT OFF, LA 70345-4128
(985) 632-6233
(985) 632-7526
Mailing address
144 W 134TH PL, CUT OFF, LA 70345-4128
(985) 632-6233
(985) 632-7526
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1442861
—
LA
01
—
193451
MEDICARE PART A
LA
01
—
5CJ01
MEDICARE PART B
LA
Enumeration date
06/08/2006
Last updated
01/11/2022
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