Organization
THIBODAUX LASER AND SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD L ARCENEAUX M.D. (MANAGER)
(985) 447-7246
Entity
Organization
Contact information
Practice address
1101 AUDUBON AVE, SUITE S4, THIBODAUX, LA 70301-4957
(985) 447-5938
(985) 448-1521
Mailing address
1101 AUDUBON AVE, SUITE S4, THIBODAUX, LA 70301-4957
(985) 447-5938
(985) 448-1521
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CJ8872
RR MEDICARE
—
Enumeration date
08/11/2005
Last updated
07/21/2022
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