NPI 1215480918

Lynkz

Organisation Exclusive Provider Organization Erwinville, LA

Practice location

Address: 4325 Oakland Road, Erwinville, LA 70729
Phone: (225) 252-6839
Fax: (225) 369-5535

Authorised official

Name: Lamonica Renee Butler
Title: Therapist
Phone: (225) 252-6839

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 1014733 (LA)

Other Exclusive Provider Organization providers in Louisiana →

Registry record

NPI: 1215480918
Entity type: Organization
NPI issued: 28 Jul 2016
Record last updated: 28 Jul 2016

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.