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Organization
LAFAYETTE SURGICAL HOSPITAL LLC
Active
Organization
LAFAYETTE SURGICAL HOSPITAL LLC
Active
Other names
Lafayette Surgical Specialty Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
(615) 234-5954
Entity
Organization
Contact information
Practice address
1101 KALISTE SALOOM RD, LAFAYETTE, LA 70508
(337) 769-4100
(337) 769-4209
Mailing address
1101 KALISTE SALOOM RD, LAFAYETTE, LA 70508
(337) 769-4100
(337) 769-4209
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
524
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1703036
—
LA
01
—
60695
BLUE CROSS
LA
Enumeration date
09/07/2006
Last updated
02/08/2023
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