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Agape Ear Nose & Throat Clinic Pc
Specialist in Leesville, Louisiana
NPI 1386867968

Agape Ear Nose & Throat Clinic Pc is a Specialist based in Leesville, LA. Agape Ear Nose & Throat Clinic Pc practices in Leesville, LA. The NPI Number for Agape Ear Nose & Throat Clinic Pc is 1386867968 and holds a License No. 12272R (Louisiana).

The current practice location address for Agape Ear Nose & Throat Clinic Pc is 1608 S 5Th St, Leesville, LA and can be reached out via phone at 337-392-1000 and via fax at 337-392-1099.

Location: 1608 S 5Th St, Leesville, LA, 71446-5304
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1386867968
Provider Name
Agape Ear Nose & Throat Clinic Pc
Credential
Provider Entity Type
Organization
Address
1608 S 5Th St, Leesville, LA, 71446-5304
Phone Number
337-392-1000
Fax Number
337-392-1099
Provider Enumeration Date
04/11/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C4958 01 LA BCBS PROVIDER NUMBER
1697664 05 LA
5CX36 01 LA MEDICARE ID
institution
Provider Business Practice Location Address Details
Address
1608 S 5Th St
City
Leesville
State
Louisiana
Zip
71446-5304
Phone Number
337-392-1000
Fax Number
337-392-1099
person
Provider Business Mailing Address Details
Address
1608 S 5Th St
City
Leesville
State
Louisiana
Zip
71446-5304
Phone Number
337-392-1000
Fax Number
337-392-1099
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
12272R (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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