Cavanaugh Family Practice LLC

NPI #1538446794 in Sulphur, Louisiana

Provider Information

NPI Number
1538446794
Entity Type
Organization
Organization Name
Cavanaugh Family Practice LLC
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Nov 15, 2011
Last Updated
Nov 15, 2011

Practice Location

Address
1114 STELLY LN
ZIP Code
70663-5139
Phone
(337) 527-7087

Authorized Official

Name
LACEY MILLETT CAVANAUGH, M.D.
Title
OWNER
Phone
(337) 527-7087

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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