Ihsc @ Lasalle Detention Facility

NPI #1477894905 in Jena, Louisiana

Provider Information

NPI Number
1477894905
Entity Type
Organization
Organization Name
Ihsc @ Lasalle Detention Facility
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Mar 7, 2013
Last Updated
Mar 8, 2013

Practice Location

Address
830 PINEHILL RD
City
Jena
ZIP Code
71342-4137
Phone
(318) 992-7613

Authorized Official

Name
ROGER BALLARD, RN, BSN
Title
CDR
Phone
(318) 992-7612

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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