Provider Type Icon

EUGENE AND OLEANDER LLC NPI 1467927723


NPI Information

NPI: 1467927723
Provider Name: EUGENE AND OLEANDER LLC
Classification: Family Medicine - 207QA0401X
Entity Type: Organization

Specialization: Addiction Medicine

CLIA Number: 19D2155565

Address:
11715 BRICKSOME AVE STE A6
BATON ROUGE, LA
ZIP 70816
Phone: (225) 246-7136
Get Directions

EUGENE AND OLEANDER LLC is an addiction medicine family medicine in Baton Rouge, LA. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. EUGENE AND OLEANDER LLC NPI is 1467927723. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11715 BRICKSOME AVE STE A6
BATON ROUGE, LA
ZIP 70816-307
Phone: (225) 246-7136
Fax: (225) 302-7015

The provider's authorized official is Joshua Rai Clark .
The authorized official title is Owner and has the following contact phone number (985) 226-1606.

The CLIA number assigned to this NPI record is 19D2155565 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/12/2018 and was last updated on 10/12/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QA0401XFamily MedicineAddiction MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.