Organization
MINIMALLY INVASIVE SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE LANDRY SHARON RN (OFFICE MANAGER)
(225) 381-2660
Entity
Organization
Contact information
Practice address
3600 FLORIDA BLVD, BATON ROUGE, LA 70806-3842
(225) 381-2660
(225) 381-2638
Mailing address
PO BOX 66577, BATON ROUGE, LA 70896-6577
(225) 381-2660
(225) 381-2638
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
15173R
LA
Other
Enumeration date
11/19/2007
Last updated
08/29/2011
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