Premise Health of Louisanna, Professional Medical Corporation

NPI #1538408158 in Westlake, Louisiana

Provider Information

NPI Number: 1538408158
Entity Type: Organization
Organization Name: Premise Health of Louisanna, Professional Medical Corporation
Primary Specialty: Clinic/Center - Occupational Medicine
Enumeration Date: Feb 1, 2013
Last Updated: Aug 15, 2022

Practice Location

Address: 4101 HWY 108 SOUTH EAST GATE
City: Westlake
State: Louisiana
ZIP Code: 70669-8017
Phone: (337) 439-7324

Authorized Official

Name: JON LEIZMAN, MD
Title: PRESIDENT
Phone: (216) 479-9063

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Occupational Medicine — Occupational Medicine	261QX0100X	Primary

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