Organization · Type 2 NPI

Immunization Services of Louisiana, LLC

Community Health Clinic/Center · Metairie, LA

NPI number 1407120785 Active

Practice location

1608 Division St
Metairie, LA 70001-2712

Fax (504) 828-7640

Specialties and licenses

TaxonomyCodeLicense
Community Health Clinic/Center Primary 261QC1500X17258 (LA)

Community Health Clinic/Center: Definition to come...

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About NPI 1407120785

Immunization Services of Louisiana, LLC's National Provider Identifier is 1407120785, issued on Mar 3, 2012. The primary taxonomy on file is Community Health Clinic/Center (261QC1500X), and the practice location is in Metairie, LA. The record was last updated on Mar 12, 2012.