Provider Demographics
NPI:1033581400
Name:COMPREHENSIVE HEALTHCARE OF LA, LLC.
Entity Type:Organization
Organization Name:COMPREHENSIVE HEALTHCARE OF LA, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KOURTNI
Authorized Official - Middle Name:
Authorized Official - Last Name:ATKINS-LUSTER
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:225-931-4887
Mailing Address - Street 1:3535 RILEY ST
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70805-2746
Mailing Address - Country:US
Mailing Address - Phone:225-931-4887
Mailing Address - Fax:
Practice Address - Street 1:3535 RILEY ST
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70805-2746
Practice Address - Country:US
Practice Address - Phone:225-931-4887
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-26
Last Update Date:2015-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health