LAFOURCHE MEDICAL GROUP is a general practice in Raceland, LA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Source: National Uniform Claim Committee LAFOURCHE MEDICAL GROUP NPI is 1730567256. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
4912 HIGHWAY 1
RACELAND, LA
ZIP 70394-559
Phone: (985) 242-3094
Fax: (985) 242-3093
The provider's authorized official is Stephen Lim .
The authorized official title is Medical Director and has the following contact phone number (504) 982-2536.
The CLIA number assigned to this NPI record is 19D2091947 - other - urgent care with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/17/2015 and was last updated on 5/17/2015.