Organization
CARDIOVASCULAR SPECIALTIES OF LOUISIANA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE DEFEO (ADMIN ASSIST)
(318) 447-1075
Entity
Organization
Contact information
Practice address
3311 PRESCOTT RD STE 312, ALEXANDRIA, LA 71301-3984
(318) 528-1998
Mailing address
3311 PRESCOTT RD STE 312, ALEXANDRIA, LA 71301-3984
(318) 528-1998
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
06/20/2020
Last updated
06/21/2020
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