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Organization
AMBULATORY SURGERY CENTER OF LOUISIANA
Active
Organization
AMBULATORY SURGERY CENTER OF LOUISIANA
Active
Other names
Outpatient Surgery Center at the Villages of Burt Kouns
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANNA L CRUEY (ADMINISTRATOR)
(318) 212-0552
Entity
Organization
Contact information
Practice address
385 BERT KOUNS INDUSTRIAL LOOP, BLDG 300, SHREVEPORT, LA 71106-8124
(318) 212-0552
(318) 212-0557
Mailing address
385 BERT KOUNS INDUSTRIAL LOOP, BLDG 300, SHREVEPORT, LA 71106-8124
(318) 212-0552
(318) 212-0557
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
164
LA
Other
Enumeration date
03/12/2008
Last updated
05/14/2010
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