The only state in the Union with Napoleonic Code and parishes instead of counties has always been a little different thanks to its French roots. However, today's Louisiana has similar business licenses and permits to other states. In fact, it regulates significantly at the state level while even New Orleans, its largest city, remains light on licenses and permits.
In Louisiana, medical Practices are among the simplest of healthcare business. However, like any facility that gives medical treatment, states and local governments care that patients get safe, clean treatment. Licenses are often required not only for practices themselves, but for medical waste disposal.