# LOUISIANA CARDIAC VASCULAR AND PULMONARY REHAB LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Louisiana Cardiac Vascular and Pulmonary Rehab LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023654712
- **Authorized official:** RAGHOTHAM R PATIOLA MD (CEO)
- **Authorized official phone:** (337) 261-2633

## Contact information

- **Practice address:** 2701 JOHNSTON STREET, STE 100, LAFAYETTE, LA 70503
- **Practice address phone:** (337) 261-2633
- **Mailing address:** 2701 JOHNSTON STREET, STE 100, LAFAYETTE, LA 70503
- **Mailing address phone:** (337) 261-2633

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WC3500X | Cardiac Rehabilitation Registered Nurse | — | NULL | Yes |
| 163WC3500X | Cardiac Rehabilitation Registered Nurse | — | — | Yes |

## Other

- **Enumeration date:** 11/18/2019
- **Last updated:** 11/18/2019