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NPI Code Detail

MEDICARE: ORTHOPEDIC CENTER OF LA LLC

MEDICARE: ORTHOPEDIC CENTER OF LA LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM2500XMedical Specialty Clinic/Center12067RLA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1578614707
Entity Type Code : Organization
Provider Name (Legal Business Name) : ORTHOPEDIC CENTER OF LA LLC
Provider Business Mailing Address
First Line : 500 S 6TH ST
Second Line : STE A
City : LEESVILLE
State : LA
Zip : 71446-4442
Country : US
Telephone Number : 337-239-8000
Fax Number : 337-239-8003
Provider Business Practice Location Address
First Line : 500 S 6TH ST
Second Line : STE A
City : LEESVILLE
State : LA
Zip : 71446-4442
Country : US
Telephone Number : 337-239-8000
Fax Number : 337-239-8003
Authorized Official
Title or Position : PHYSICIAN
Name : JOHN DAVID DELAPP
Credential : MD
Telephone Number : 337-239-8000
Provider Enumeration Date : 01/15/2007
Last Update Date : 01/27/2010

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Directions to “ORTHOPEDIC CENTER OF LA LLC ” Practice Location

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