Pediatric Medical Clinic Inc
Pediatric Adolescent Medicine
Pediatric Medical Clinic Inc is a La Place, Louisiana based Pediatric center with medical specialization in
Pediatric Adolescent Medicine.
It is located at
501 Rue De Sante, Suite 9, La Place, Louisiana - 70068-5400. They can be contacted on phone at
985-651-7444 and fax number 985-651-7449.
NPI number (Unique professional ID) for Pediatric Medical Clinic Inc is
1043376007 which was assigned by NPPES on 27 Dec, 2006 and it was last updated on 16 Jul, 2007.
Pediatric Medical Clinic Inc license number is
015291 for Pediatrics Adolescent Medicine (2080A0000X) in Louisiana.
Pediatric Medical Clinic Inc specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Pediatric Medical Clinic Inc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
Specialization : | Pediatrics Adolescent Medicine |
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Provider Name : | Pediatric Medical Clinic Inc |
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Business Address:
Pediatric Medical Clinic Inc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address : | 501 Rue De Sante, Suite 9 La Place, LA, 70068-5400 United States |
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Phone Number : | 985-651-7444 |
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Fax Number : | 985-651-7449 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : | 1043376007 |
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NPI Entity Type : | Organization |
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First Enrolment Date : | 27 Dec, 2006 |
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Last Updated On : | 16 Jul, 2007 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
Authorized Official Name : | Oliverroy Lambert |
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Authorized Official Credential : | MD |
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Official Title or Position : | PHYSICIAN |
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Phone Number : | 985-651-7444 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pediatric Medical Clinic Inc are as mentioned. Primary taxonomy code for Pediatric Medical Clinic Inc is
2080A0000X (Pediatrics Adolescent Medicine).
Taxonomy Code | Speciality | Primary | License No. | State |
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2080A0000X | Pediatrics Adolescent Medicine | Yes | 015291 | LA |
Legacy Identifiers:
Other legacy medical identifiers of Pediatric Medical Clinic Inc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
Identifier | Identifier Type | State | Issuer |
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1449369 | MEDICAID | LA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address : | 501 Rue De Sante, Suite 9 La Place, LA, 70068-5400 United States |
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Phone Number : | 985-651-7444 |
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Fax Number : | 985-651-7449 |
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Business Location:
Patients can refer following map for directions to
Pediatric Medical Clinic Inc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.