Family Medicine
GREEN CLINIC LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1831178755 · enumerated 2006-01-10 · record updated 2024-02-22. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: LORI KEEN, CEO · (318) 251-6304
Addresses and phones
- Practice location 1200 S FARMERVILLE ST, RUSTON, LA, 71270-5941 (318) 255-3690 Google Maps Apple Maps OpenStreetMap
- Mailing address 1200 S FARMERVILLE ST, RUSTON, LA, 71270-5941 (318) 255-3690 Google Maps Apple Maps OpenStreetMap
Specialties
- Dietitian, Registered 133V00000X
- Neuromusculoskeletal Medicine, Sports Medicine 204C00000X
- Oral & Maxillofacial Surgery 204E00000X
- Dermatology 207N00000X
- Internal Medicine 207R00000X
- Nuclear Medicine 207U00000X
- Obstetrics & Gynecology 207V00000X
- Ophthalmology 207W00000X
- Orthopaedic Surgery 207X00000X
- Otolaryngology 207Y00000X
- Pediatrics 208000000X
- Physical Medicine & Rehabilitation 208100000X
- Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine 2083P0500X
- Podiatrist 213E00000X
- Family Medicine 207Q00000X · Primary
In this directory
Locations and evidence
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Practice location
RUSTON, LA, 712705941
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.