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PELICAN CLINIC LLC
NPI 1740553569
Family Medicine - Adult Medicine in La Place, LA

Active since February 10, 2012
948 CAMBRIDGE DR STE 103B, LA PLACE, LA 70068(985) 652-7717(337) 896-6441 Get Directions Write a Review

NPPES record last updated: April 21, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pelican Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PELICAN CLINIC LLC (NPI 1740553569) is a healthcare organization registered as an adult medicine in La Place, Louisiana and active in the NPI registry since February 2012. The organization lists Letha Haynes, Owner, as its authorized official.

NPPES Registry Identity

NPI1740553569
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NamePELICAN CLINIC LLC
Location Address948 CAMBRIDGE DR STE 103BLa Place, LA 70068-3647
Mailing Address948 Cambridge Dr Ste 103bLa Place, LA 70068-3647 · (985) 652-7717 · Fax (985) 618-3611
Phone(985) 652-7717
Fax(337) 896-6441
Organization SubpartNo
Authorized OfficialLetha HaynesOwner · (954) 492-7150
Enumeration DateFebruary 10, 2012
Last NPPES UpdateApril 21, 2023
NPPES CertifiedApril 21, 2023
✔ NPI 1740553569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in LA · 27302
Definition

The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

948 CAMBRIDGE DR STE 103B, La Place, LA 70068
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pelican Clinic LLC's NPI number?

The NPI number for Pelican Clinic LLC is 1740553569. It was assigned to this organization in the NPPES registry on February 10, 2012.

Where is Pelican Clinic LLC located?

Pelican Clinic LLC is located at 948 Cambridge Dr Ste 103B, La Place, LA 70068. The listed phone number is (985) 652-7717.

What is Pelican Clinic LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

When was this NPI record last updated?

The NPPES record for Pelican Clinic LLC was last updated on April 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.