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Western Louisiana Internal Medicine
Specialist in Leesville, Louisiana
NPI 1215915202

Western Louisiana Internal Medicine is a Specialist based in Leesville, LA. Western Louisiana Internal Medicine practices in Leesville, LA. The NPI Number for Western Louisiana Internal Medicine is 1215915202 and holds a License No. 14565R (Louisiana).

The current practice location address for Western Louisiana Internal Medicine is 1015 W Fertitta Blvd, Leesville, LA and can be reached out via phone at 337-239-4130 and via fax at 337-238-4104.

Location: 1015 W Fertitta Blvd, Leesville, LA, 71446-4646
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215915202
Provider Name
Western Louisiana Internal Medicine
Credential
Provider Entity Type
Organization
Address
1015 W Fertitta Blvd, Leesville, LA, 71446-4646
Phone Number
337-239-4130
Fax Number
337-238-4104
Provider Enumeration Date
01/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
14565R 01 LA LA. STATE LICENSE #
1127647 05 LA
institution
Provider Business Practice Location Address Details
Address
1015 W Fertitta Blvd
City
Leesville
State
Louisiana
Zip
71446-4646
Phone Number
337-239-4130
Fax Number
337-238-4104
person
Provider Business Mailing Address Details
Address
1015 W Fertitta Blvd
City
Leesville
State
Louisiana
Zip
71446-4646
Phone Number
337-239-4130
Fax Number
337-238-4104
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
14565R (Louisiana)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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