Pediatric Clinic of Northeast La a Medical Corporation

NPI #1801070164 in Monroe, Louisiana

Provider Information

NPI Number: 1801070164
Entity Type: Organization
Organization Name: Pediatric Clinic of Northeast La a Medical Corporation
Primary Specialty: Pediatrics
Enumeration Date: Dec 21, 2007
Last Updated: Dec 28, 2007

Practice Location

Address: 1601 LAMY LN
City: Monroe
State: Louisiana
ZIP Code: 71201-3735
Phone: (318) 387-3453

Authorized Official

Name: DR. FRANCES MEADE O'BOYLE
Title: PRESIDENT
Phone: (318) 325-0483

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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