Organization
LOUISIANA GASTROENTEROLOGY ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TASHA CIESLAK (AUTHORIZED SIGNEE)
(337) 232-6697
Entity
Organization
Contact information
Practice address
1211 COOLIDGE BLVD STE 303, LAFAYETTE, LA 70503-2636
(337) 232-6697
(337) 500-1358
Mailing address
1211 COOLIDGE BLVD STE 303, LAFAYETTE, LA 70503-2636
(337) 232-6697
(337) 500-1358
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
02/02/2022
Last updated
02/25/2025
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