| Organization Name: | LOUISIANA PAIN CARE |
| NPI Number: | 1003954199 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CINDY SHAW (BILLING SUPERVISOR) |
| Mailing Address: | 210 Layton Avenue Suite 20 Monroe |
| State: | LA US |
| Postal Code: | 71210 |
| Phone Number: | 3183236405 |
| Fax Number: | |
| NPI Enumeration Date: | 02/02/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP3300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Pain |
| Taxonomy Definition: | |