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Organization
LOUISIANA CARDIAC VASCULAR AND PULMONARY REHAB LLC
Active
Organization
LOUISIANA CARDIAC VASCULAR AND PULMONARY REHAB LLC
Active
Other names
Louisiana Cardiac Vascular and Pulmonary Rehab LLC
Organization subpart
No
Provider details
NPI number
Authorized official
RAGHOTHAM R PATIOLA MD (CEO)
(337) 261-2633
Entity
Organization
Contact information
Practice address
2701 JOHNSTON STREET, STE 100, LAFAYETTE, LA 70503
(337) 261-2633
Mailing address
2701 JOHNSTON STREET, STE 100, LAFAYETTE, LA 70503
(337) 261-2633
Taxonomy
Speciality
Code
Description
License number
State
163WC3500X
Cardiac Rehabilitation Registered Nurse
Primary
—
NULL
163WC3500X
Cardiac Rehabilitation Registered Nurse
Primary
—
—
Other
Enumeration date
11/18/2019
Last updated
11/18/2019
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