Provider Demographics
NPI:1972796480
Name:JULIE E S PRICE M.D., LLC
Entity Type:Organization
Organization Name:JULIE E S PRICE M.D., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSCIAN
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:ES
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:985-221-4400
Mailing Address - Street 1:1300 LAKEWOOD DR
Mailing Address - Street 2:SUITE E
Mailing Address - City:MORGAN CITY
Mailing Address - State:LA
Mailing Address - Zip Code:70380-1866
Mailing Address - Country:US
Mailing Address - Phone:985-221-4400
Mailing Address - Fax:985-221-4404
Practice Address - Street 1:1300 LAKEWOOD DR
Practice Address - Street 2:SUITE E
Practice Address - City:MORGAN CITY
Practice Address - State:LA
Practice Address - Zip Code:70380-1866
Practice Address - Country:US
Practice Address - Phone:985-221-4400
Practice Address - Fax:985-221-4404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-20
Last Update Date:2010-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD 026513174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty