Organization
LAKESHORE SURGICAL ASSOCIATES OF LA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD CELENTANO MD (PHYSICIAN/OWNER)
(985) 898-0589
Entity
Organization
Contact information
Practice address
110 LAKEVIEW DR STE 200, COVINGTON, LA 70433-7511
(985) 898-0589
Mailing address
110 LAKEVIEW DR STE 200, COVINGTON, LA 70433-7511
(985) 898-0589
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
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