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Organization

WOMENS & CHILDRENS PEDIATRIC HEMATOLOGY - ONCOLOGY CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS ROBERT J. LAGESSE (VICE PRESIDENT)
(615) 373-7600
Entity
Organization

Contact information

Practice address
4630 AMBASSADOR CAFFERY PKWY, SUITE 414, LAFAYETTE, LA 70508-6949
(337) 521-9239
(337) 521-9268
Mailing address
4630 AMBASSADOR CAFFERY PKWY, SUITE 414, LAFAYETTE, LA 70508-6949
(337) 521-9239
(337) 521-9268

Taxonomy

Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary

Other

Enumeration date
05/22/2007
Last updated
10/04/2007
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