OrganizationActive
Bogalusa Family Practice
NPI 1104084839 · General Practice Physician · Bogalusa, LA
Provider details
- NPI number
- 1104084839
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Melvin Lester, Billing Clerk(985) 732-1899
- License
- MD107924 (LA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
433 Plaza St
Bogalusa, LA 70427-3729
Phone: (985) 735-1198
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 700
Bogalusa, LA 70429-0700
Registry dates
- Enumerated
- 2008-05-29
- Last updated
- 2008-05-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.