Organization
VIDRINE COMMUNITY CLINIC, LLC
Active
Other names
Vidrine Community Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS D LAHAYE MD (PHYSICIAN)
(337) 506-3500
Entity
Organization
Contact information
Practice address
4940 VIDRINE RD, VILLE PLATTE, LA 70586-8780
(337) 506-3500
(337) 506-3560
Mailing address
4940 VIDRINE RD, VILLE PLATTE, LA 70586-8780
(337) 506-3500
(337) 506-3560
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1440167
—
LA
Enumeration date
11/16/2006
Last updated
12/30/2020
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