Bruce Lamar Addison Jr.
Individual provider Active NPI Case Manager/Care Coordinator · Monroe, LA
NPI 1720793003 · NPPES record last updated Jan 20, 2023
Key facts
- NPI
- 1720793003
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 2101 Tower Dr Ste B
Monroe, LA 71201-5045 - Phone
- (318) 570-5400
- Fax
- (318) 323-1400
- NPI assigned
- Jan 20, 2023
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
2101 Tower Dr Ste B
Monroe, LA 71201-5045
Mailing address
2101 Tower Dr Ste B
Monroe, LA 71201-5045
Phone (318) 570-5400
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All providers in Monroe, LA · Case Manager/Care Coordinator in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.