Primary Care at Home of Louisiana Iii, LLC
NPI #1821514852 in Baton Rouge, Louisiana
Provider Information
- NPI Number
- 1821514852
- Entity Type
- Organization
- Organization Name
- Primary Care at Home of Louisiana Iii, LLC
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Aug 22, 2017
- Last Updated
- Aug 22, 2017
Practice Location
- Address
- 2645 ONEAL LN STE C
- City
- Baton Rouge
- State
- Louisiana
- ZIP Code
- 70816-3179
- Phone
- (225) 326-4637
Authorized Official
- Name
- DONALD D. STELLY
- Title
- PRESIDENT
- Phone
- (337) 233-1307
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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