Organization
LOUISIANA STAT CARE LLC
Active
Other names
LOUISIANA STAT CARE PCP
Organization subpart
No
Provider details
NPI number
Authorized official
NORMAN GLEN NEAL MD (MD)
(504) 909-0193
Entity
Organization
Contact information
Practice address
11055 SHOE CREEK DR, BATON ROUGE, LA 70818-4022
(225) 261-4493
(866) 657-2791
Mailing address
11055 SHOE CREEK DR, BATON ROUGE, LA 70818-4022
(225) 261-4493
(866) 657-2791
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
12/11/2024
Last updated
12/11/2024
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