Organization
FAMILY HEALTHCARE OF LORANGER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY RENEE MANINA FNP-C (NURSE PRACTITIONER)
(985) 606-2273
Entity
Organization
Contact information
Practice address
54033 HIGHWAY 1062, SUITE B, LORANGER, LA 70446
(985) 606-2273
(985) 606-2268
Mailing address
54033 HIGHWAY 1062, SUITE B, LORANGER, LA 70446
(985) 606-2273
(985) 606-2268
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
AP06729
LA
261QR1300X
Rural Health Clinic/Center
Primary
AP06729
LA
364SF0001X
Family Health Clinical Nurse Specialist
AP6729
LA
Other
Enumeration date
08/28/2015
Last updated
07/21/2022
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