Amerigroup Louisiana, Inc.

NPI #1710263082 in Metairie, Louisiana

Provider Information

NPI Number
1710263082
Entity Type
Organization
Organization Name
Amerigroup Louisiana, Inc.
Primary Specialty
Health Maintenance Organization
Enumeration Date
Oct 31, 2011
Last Updated
Oct 31, 2011

Practice Location

Address
3850 N CAUSEWAY BLVD
Address 2
SUITE 1160
ZIP Code
70002-1752
Phone
(757) 962-6452

Authorized Official

Name
MR. GEORGE STEPHEN BUCHER
Title
CHIEF EXECUTIVE OFFICER
Phone
(757) 962-6452

Specialties & Taxonomy Codes

Specialty
Health Maintenance Organization

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