NPI 1104413384

Northeast Louisiana Physician Hospital Organization

Organisation Preferred Provider Organization Monroe, LA

Practice location

Address: 1900 N 18th St STE 703, Monroe, LA 71201-4486
Phone: (318) 372-5431
Fax: (318) 387-7358

Authorised official

Name: Monica Lynn Pittman
Title: President
Phone: (318) 387-7358

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

Other Preferred Provider Organization providers in Louisiana →

Registry record

NPI: 1104413384
Entity type: Organization
NPI issued: 22 Dec 2020
Record last updated: 22 Dec 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.