Provider Demographics
NPI:1245604693
Name:P&L MEDICAL SERVICES, INC.
Entity Type:Organization
Organization Name:P&L MEDICAL SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFERY
Authorized Official - Middle Name:
Authorized Official - Last Name:LACOUR
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:225-218-8998
Mailing Address - Street 1:1112 N CARROLLTON AVE
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-2017
Mailing Address - Country:US
Mailing Address - Phone:225-218-8998
Mailing Address - Fax:225-218-8881
Practice Address - Street 1:1112 N CARROLLTON AVE
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-2017
Practice Address - Country:US
Practice Address - Phone:225-218-8998
Practice Address - Fax:225-218-8881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-23
Last Update Date:2015-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA11338251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health