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Organization

WELLINESS & LONGEVITY CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RANDY LAUKHUFF (OWNER)
(337) 235-1166
Entity
Organization

Contact information

Practice address
211 E KALISTE SALOOM RD, LAFAYETTE, LA 70508-3238
(337) 235-1166
(337) 235-1168
Mailing address
211 E KALISTE SALOOM RD, LAFAYETTE, LA 70508-3238
(337) 235-1166
(337) 235-1168

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
8215
LA

Other

Enumeration date
03/13/2007
Last updated
08/22/2020
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