Organization · Type 2 NPI
Pelican Clinic LLC
Adult Medicine Physician · La Place, LA
NPI number
1740553569
Active
Practice location
948 Cambridge Dr Ste 103B
La Place, LA 70068-3647
Fax (337) 896-6441
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | 27302 (LA) |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
About NPI 1740553569
Pelican Clinic LLC's National Provider Identifier is 1740553569, issued on Feb 10, 2012. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in La Place, LA. The record was last updated on Apr 21, 2023.