PELICAN CLINIC LLC is an adult medicine family medicine in La Place, LA. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. PELICAN CLINIC LLC NPI is 1740553569. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
948 CAMBRIDGE DR STE 103B
LA PLACE, LA
ZIP 70068-647
Phone: (985) 652-7717
Fax: (337) 896-6441
The provider's authorized official is Letha Haynes .
The authorized official title is Owner and has the following contact phone number (954) 492-7150.
The enumeration date for this NPI number is 2/10/2012 and was last updated on 4/21/2023.