Childrens Clinic of Raceland LLC

NPI #1902009350 in Raceland, Louisiana

Provider Information

NPI Number: 1902009350
Entity Type: Organization
Organization Name: Childrens Clinic of Raceland LLC
Primary Specialty: Pediatrics
Enumeration Date: Jun 5, 2007
Last Updated: Mar 4, 2021

Practice Location

Address: 110 ACADIA PARK DR
City: Raceland
State: Louisiana
ZIP Code: 70394-2618
Phone: (985) 537-8687

Authorized Official

Name: DR. LUISA CUARIO BACUTA-TAGORDA, MD
Title: MEMBER MANAGER
Phone: (985) 537-8687

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X
Pediatrics	208000000X	Primary

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