institution
Northlake Medicine And Wellness Center, Llc
Primary Care Clinic/Center in Covington, Louisiana
NPI 1073693958

Northlake Medicine And Wellness Center, Llc is a Primary Care Clinic/Center based in Covington, LA and is specialized in Primary Care. Northlake Medicine And Wellness Center, Llc practices in Covington, LA. The NPI Number for Northlake Medicine And Wellness Center, Llc is 1073693958 and holds a License No. 018251 (Louisiana).

The current practice location address for Northlake Medicine And Wellness Center, Llc is 1980 N Highway 190, Covington, LA and can be reached out via phone at 985-809-6195 and via fax at 985-809-6199. You can also correspond with Northlake Medicine And Wellness Center, Llc through the mailing address at 1980 N HIGHWAY 190, COVINGTON, LA - 70433-5158 (mailing address contact number: 985-809-6195).

Location: 1980 N Highway 190, Covington, LA, 70433-5158
institution
Provider Profile Details
NPI Number
1073693958
Provider Name
Northlake Medicine And Wellness Center, Llc
Credential
Provider Entity Type
Organization
Address
1980 N Highway 190, Covington, LA, 70433-5158
Phone Number
985-809-6195
Fax Number
985-809-6199
Provider Enumeration Date
10/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1378054 05 LA
institution
Provider Business Practice Location Address Details
Address
1980 N Highway 190
City
State
Zip
70433-5158
Phone Number
985-809-6195
Fax Number
985-809-6199
person
Provider Business Mailing Address Details
Address
1980 N Highway 190
City
State
Zip
70433-5158
Phone Number
985-809-6195
Fax Number
985-809-6199
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
018251 (Louisiana)
Definition
Definition to come...
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