Derussy Emergency Group, LLC
NPI #1306300900 in Marksville, Louisiana
Provider Information
- NPI Number
- 1306300900
- Entity Type
- Organization
- Organization Name
- Derussy Emergency Group, LLC
- Primary Specialty
- Emergency Medicine
- Enumeration Date
- Jan 28, 2019
- Last Updated
- Mar 23, 2022
Practice Location
- Address
- 4231 HIGHWAY 1192
- City
- Marksville
- State
- Louisiana
- ZIP Code
- 71351-4711
- Phone
- (318) 240-6045
Authorized Official
- Name
- LISHA C FALK
- Title
- VP OF CONTRACTING
- Phone
- (337) 609-1221
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Nurse Practitioner |
| Emergency Medicine |
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