Organization
LOUISIANA SPINE SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK FRANCIS MCDONNELL MD (PRESIDENT)
(337) 261-5453
Entity
Organization
Contact information
Practice address
113 SAINT THOMAS ST, SUITE D, LAFAYETTE, LA 70506-4575
(337) 261-5453
Mailing address
113 SAINT THOMAS ST, SUITE D, LAFAYETTE, LA 70506-4575
(337) 261-5453
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
15736A
LA
Other
Enumeration date
06/20/2008
Last updated
06/26/2008
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