Premise Health of Louisiana Medical Professional Medical Corporation

NPI #1609698877 in Norco, Louisiana

Provider Information

NPI Number: 1609698877
Entity Type: Organization
Organization Name: Premise Health of Louisiana Medical Professional Medical Corporation
Primary Specialty: Clinic/Center - Multi-Specialty
Enumeration Date: Oct 29, 2024
Last Updated: Oct 29, 2024

Practice Location

Address: 14902 RIVER RD
City: Norco
State: Louisiana
ZIP Code: 70079-2543
Phone: (985) 764-4666

Authorized Official

Name: JONATHAN B LEIZMAN
Title: PRESIDENT
Phone: (615) 468-6270

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Multi-Specialty — Multi-Specialty	261QM1300X	Primary

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