Organization
JONAH HEALTHCARE, A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOWARD LIPPTON (PRESIDENT)
(318) 946-8793
Entity
Organization
Contact information
Practice address
2328 LINE AVE, SHREVEPORT, LA 71104-2131
(318) 946-8793
Mailing address
2328 LINE AVE, SHREVEPORT, LA 71104-2131
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/23/2016
Last updated
02/23/2016
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