The Primary Care Group of East Jefferson, LLC

NPI #1588735393 in Metairie, Louisiana

Provider Information

NPI Number: 1588735393
Entity Type: Organization
Organization Name: The Primary Care Group of East Jefferson, LLC
Primary Specialty: Internal Medicine
Enumeration Date: Nov 13, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 4315 HOUMA BLVD
Address 2: SUITE 204
City: Metairie
State: Louisiana
ZIP Code: 70006-2940
Phone: (504) 454-5396

Authorized Official

Name: LAUREN A SANTA ANA, MHA, MBA
Title: EXECUTIVE DIRECTOR
Phone: (504) 454-5396

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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