Organization
LOUISIANA SURGEONS OF EXCELLENCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIAZY MAHMOUD MOHAMED SELIM M.D. (PRESIDENT)
(337) 502-8706
Entity
Organization
Contact information
Practice address
215 W PRIEN LAKE RD, SUITE A, LAKE CHARLES, LA 70601-8450
(337) 502-8706
(337) 210-1271
Mailing address
215 W PRIEN LAKE RD, LAKE CHARLES, LA 70601-8450
(337) 502-8706
(337) 210-1271
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
207592
LA
Other
Enumeration date
02/17/2015
Last updated
02/23/2023
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