Organization
LOUISIANA ORGAN PROCUREMENT AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE LAURENT (CHIEF FINANCIAL OFFICER)
(504) 837-3355
Entity
Organization
Contact information
Practice address
68190 HIGHWAY 190 SERVICE RD, COVINGTON, LA 70433-5271
(504) 837-3355
Mailing address
68190 HIGHWAY 190 SERVICE RD, COVINGTON, LA 70433-5271
(504) 837-3355
Taxonomy
Speciality
Code
Description
License number
State
335U00000X
Organ Procurement Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19P001
PALMETTO GBA
LA
Enumeration date
07/11/2024
Last updated
07/11/2024
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