Organization
LAFAYETTE SURGERY CENTER LIMITED PARTNERSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER J CLOWERS (VP)
(337) 470-2147
Entity
Organization
Contact information
Practice address
4630 AMBASSADOR CAFFERY PKWY, SUITE 101, LAFAYETTE, LA 70508-6949
(337) 993-1193
(337) 993-1088
Mailing address
4630 AMBASSADOR CAFFERY PKWY, SUITE 101, LAFAYETTE, LA 70508-6949
(337) 993-1193
(337) 993-1088
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
121
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1160962
—
LA
Enumeration date
04/10/2006
Last updated
06/12/2019
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