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St. Charles Medical Clinic
Primary Care Clinic/Center in Luling, Louisiana
NPI 1407947708

St. Charles Medical Clinic is a Primary Care Clinic/Center based in Luling, LA and is specialized in Primary Care. St. Charles Medical Clinic practices in Luling, LA. The NPI Number for St. Charles Medical Clinic is 1407947708 and holds a License No. (Louisiana).

The current practice location address for St. Charles Medical Clinic is 1057 Paul Maillard Rd, Luling, LA and can be reached out via phone at 985-785-2045.

Location: 1057 Paul Maillard Rd, Luling, LA, 70070-0025
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407947708
Provider Name
St. Charles Medical Clinic
Credential
Provider Entity Type
Organization
Address
1057 Paul Maillard Rd, Luling, LA, 70070-0025
Phone Number
985-785-2045
Fax Number
Provider Enumeration Date
09/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1792292 05 LA
institution
Provider Business Practice Location Address Details
Address
1057 Paul Maillard Rd
City
Luling
State
Louisiana
Zip
70070-4349
Phone Number
985-785-2045
Fax Number
person
Provider Business Mailing Address Details
Address
1057 Paul Maillard Rd
City
Luling
State
Louisiana
Zip
70070-4349
Phone Number
985-785-2045
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
(Louisiana)
Definition
Definition to come...
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