Healthcare Provider Details
I. General information
NPI: 1487275939
Provider Name (Legal Business Name): LA HEALTH SOLUTIONS-LAPLACE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/06/2020
Last Update Date: 05/06/2020
Certification Date: 05/06/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1524 W AIRLINE HWY
LA PLACE LA
70068-3725
US
IV. Provider business mailing address
3001 DIVISION ST STE 202
METAIRIE LA
70002-5855
US
V. Phone/Fax
- Phone: 985-233-2600
- Fax: 985-329-5247
- Phone: 504-243-7796
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ABBY
TUCKER
Title or Position: OPERATIONS
Credential:
Phone: 504-243-7796