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Leesville Heart Center Pmc
Specialist in Leesville, Louisiana
NPI 1407045792

Leesville Heart Center Pmc is a Specialist based in Leesville, LA. Leesville Heart Center Pmc practices in Leesville, LA. The NPI Number for Leesville Heart Center Pmc is 1407045792 and holds a License No. 11635R (Louisiana).

The current practice location address for Leesville Heart Center Pmc is 1106A Port Arthur Ter, Leesville, LA and can be reached out via phone at 337-392-1871 and via fax at 337-392-1804.

Location: 1106A Port Arthur Ter, Leesville, LA, 71446-4636
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407045792
Provider Name
Leesville Heart Center Pmc
Credential
Provider Entity Type
Organization
Address
1106A Port Arthur Ter, Leesville, LA, 71446-4636
Phone Number
337-392-1871
Fax Number
337-392-1804
Provider Enumeration Date
10/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1684937 05 LA
institution
Provider Business Practice Location Address Details
Address
1106A Port Arthur Ter
City
Leesville
State
Louisiana
Zip
71446-4636
Phone Number
337-392-1871
Fax Number
337-392-1804
person
Provider Business Mailing Address Details
Address
1106A Port Arthur Ter
City
Leesville
State
Louisiana
Zip
71446-4636
Phone Number
337-392-1871
Fax Number
337-392-1804
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
11635R (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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