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NPI 1922294784 · live from the CMS NPI Registry

Ashley Ridge Medicine, LLC

Family Medicine in Zwolle, LA. National Provider Identifier 1922294784, active.

NPI record

NPI1922294784 Type 2 · organization
StatusActive
Primary specialtyFamily Medicine 207Q00000X
Practice location1015 Obrie St, Zwolle, LA 71486
Practice phone318-645-6161
Mailing addressPo Box 5313, Shreveport, LA 71135
EnumeratedSeptember 14, 2007
Last updatedAugust 23, 2024
Authorized officialChi Tai Lau, Physician / Provider / Owner

Taxonomies and licenses

TaxonomyCodeLicense
Family Medicine primary207Q00000X23409 (LA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.