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OUR LADY OF LOURDES PRIMARY CARE NETWORK NPI 1801121942


NPI Information

NPI: 1801121942
Provider Name: OUR LADY OF LOURDES PRIMARY CARE NETWORK
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
805 ALBERTSON PKWY STE B
BROUSSARD, LA
ZIP 70518
Phone: (337) 837-2664
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OUR LADY OF LOURDES PRIMARY CARE NETWORK is a family medicine in Broussard, LA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. OUR LADY OF LOURDES PRIMARY CARE NETWORK NPI is 1801121942. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

805 ALBERTSON PKWY STE B
BROUSSARD, LA
ZIP 70518-350
Phone: (337) 837-2664
Fax: (337) 837-2551

The provider's authorized official is Brigitte L Girouard .
The authorized official title is Physician/ Operator and has the following contact phone number (337) 837-2664.

The enumeration date for this NPI number is 10/7/2009 and was last updated on 3/18/2010.


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
1207Q00000XFamily Medicine202732LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11505706MEDICAIDLOUISIANA
21801121942OTHERLOUISIANAGROUP NPI
31205044757OTHERLOUISIANADR'S NPI
44M570MEDICARE PINLOUISIANA

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: 4/28/2024

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