Provider Demographics
NPI:1275324865
Name:LOUISIANA PROFESSIONAL CONSULTING, LLC
Entity type:Organization
Organization Name:LOUISIANA PROFESSIONAL CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:NELSON
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:MD, DDS, FACS
Authorized Official - Phone:979-255-5252
Mailing Address - Street 1:301 4TH ST STE 30137
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71301-8422
Mailing Address - Country:US
Mailing Address - Phone:318-445-8606
Mailing Address - Fax:318-445-8694
Practice Address - Street 1:301 4TH ST STE 30137
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71301-8422
Practice Address - Country:US
Practice Address - Phone:318-445-8606
Practice Address - Fax:318-445-8694
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-14
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty