Premise Health of Louisanna, Professional Medical Corporation

NPI #1629132543 in Kinder, Louisiana

Provider Information

NPI Number
1629132543
Entity Type
Organization
Organization Name
Premise Health of Louisanna, Professional Medical Corporation
Primary Specialty
Family Medicine
Enumeration Date
Dec 22, 2006
Last Updated
Aug 15, 2022

Practice Location

Address
121 TURKEY LANE
City
Kinder
ZIP Code
70648
Phone
(337) 738-4414

Authorized Official

Name
JONATHAN LEIZMAN, M.D.
Title
PRESIDENT
Phone
(216) 479-9063

Specialties & Taxonomy Codes

Specialty
Family Medicine

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