# VICK SURGICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Vick Surgical
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548045735
- **Authorized official:** ALICIA VICK PA (OWNER)
- **Authorized official phone:** (225) 413-5637

## Contact information

- **Practice address:** 7777 HENNESSY BLVD STE 2004, BATON ROUGE, LA 70808-4370
- **Practice address phone:** (225) 769-2500
- **Mailing address:** PO BOX 80112, BATON ROUGE, LA 70898-0112

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | — | NULL | Yes |
| 363AS0400X | Surgical Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 08/28/2023
- **Last updated:** 08/28/2023