Northlake Primary Care
Northlake Primary Care is an Internal Medicine Physician in Slidell, Louisiana. Licensed in Louisiana. Registered with an NPI since 2007.
- Licensed in
- LA
- In the registry since
- 2007
Practice location Address checks out
951 Gause Blvd Ste 2Slidell, LA 70458-2937
Phone: (985) 641-6454
Fax: (985) 641-6458
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence MD11789R (LA) |
|---|
Record details
| NPI number | 1063638831 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jose Lefran — Doctor · (985) 641-6454 |
| NPI enumerated | April 18, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 951 Gause Blvd Ste 2, Slidell, LA 70458-2937 |
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