Organization · Type 2 NPI
Beauregard Medical Group LLC
Primary Care Clinic/Center · Longville, LA
NPI number
1689126658
Active
Practice location
12186 Highway 171
Longville, LA 70652
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | AP08501 (LA) |
| Rural Health Clinic/Center | 261QR1300X | AP08501 (LA) |
| Family Nurse Practitioner | 363LF0000X | AP08501 (LA) |
Primary Care Clinic/Center: Definition to come...
2 other providers at this address
Other primary care clinic/center providers in Longville
About NPI 1689126658
Beauregard Medical Group LLC's National Provider Identifier is 1689126658, issued on Oct 26, 2016. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Longville, LA. The record was last updated on Feb 4, 2020.