Organization
LAFOURCHE PARISH HOSPITAL SERVICE DISTRICT NO. 1
Active
Other names
Lady of the Sea Medical Clinic - Larose
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TAD A LAFONT RN (CHIEF CLINIC OFFCIER)
(985) 632-6401
Entity
Organization
Contact information
Practice address
13030 HIGHWAY 308, LAROSE, LA 70345-4143
(985) 798-7000
(985) 798-7021
Mailing address
13030 HIGHWAY 308, LAROSE, LA 70373-2056
(985) 798-7000
(985) 798-7021
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457671
—
LA
Enumeration date
01/04/2007
Last updated
03/24/2023
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