# CARDIOVASCULAR SPECIALTIES OF LOUISIANA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275159790
- **Authorized official:** JULIE DEFEO (ADMIN ASSIST)
- **Authorized official phone:** (318) 447-1075

## Contact information

- **Practice address:** 3311 PRESCOTT RD STE 312, ALEXANDRIA, LA 71301-3984
- **Practice address phone:** (318) 528-1998
- **Mailing address:** 3311 PRESCOTT RD STE 312, ALEXANDRIA, LA 71301-3984
- **Mailing address phone:** (318) 528-1998

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/20/2020
- **Last updated:** 06/21/2020