Organization
THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION
Active
Other names
Thibodaux Regional Network Development Corp. - Pathology
Organization subpart
No
Provider details
NPI number
Authorized official
BONNIE LOKER (ASSISTANT FINANCIAL OFFICER)
(985) 493-4778
Entity
Organization
Contact information
Practice address
602 N ACADIA RD, THIBODAUX, LA 70301-4823
(985) 493-4544
Mailing address
PO BOX 5478, THIBODAUX, LA 70302-5478
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
12/11/2017
Last updated
09/05/2023
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