Organization · Type 2 NPI

Outpatient Medical Nutrition Therapy

Clinic/Center · Monroe, LA

NPI number 1508856253 Active

Practice location

920 Oliver Road, Suite 1450
Monroe, LA 71201-7529

Fax (318) 327-5260

Mailing address

PO Box 1901
Monroe, LA 71210-1901

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000X157H (LA)

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

2 other providers at this address

Other clinic/center providers in Monroe

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About NPI 1508856253

Outpatient Medical Nutrition Therapy's National Provider Identifier is 1508856253, issued on Oct 25, 2005. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Monroe, LA. The record was last updated on Jul 13, 2007.