Paradise Children's Clinic of Louisiana LLC

NPI #1124457676 in Ball, Louisiana

Provider Information

NPI Number: 1124457676
Entity Type: Organization
Organization Name: Paradise Children's Clinic of Louisiana LLC
Primary Specialty: Pediatrics
Enumeration Date: Nov 5, 2013
Last Updated: Nov 22, 2021

Practice Location

Address: 4702 MONROE HWY
City: Ball
State: Louisiana
ZIP Code: 71405-3944
Phone: (318) 641-6113

Authorized Official

Name: ASHLEY L MASON
Title: OFFICE MANAGER
Phone: (318) 641-6113

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner - Family — Family	363LF0000X
Nurse Practitioner - Pediatrics — Pediatrics	363LP0200X
Pediatrics	208000000X	Primary

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