PREMISE HEALTH OF LOUISIANA MEDICAL PROFESSIONAL MEDICAL CORPORATION

NPI # 

Practice Address:

14902 River Rd

Norco, LA, 70079-2543

Practice Phone:

985-764-4666

Practice Fax:

985-764-4568

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Multi-Specialty

Taxonomy Code:

261QM1300X