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Organization

NORTH LOUISIANA SURGERY CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LARRY S SASAKI M.D. (OWNER/PHYSICIAN)
(318) 746-7272
Entity
Organization

Contact information

Practice address
1512 DOCTORS DR, BOSSIER CITY, LA 71111-3322
(318) 746-7272
Mailing address
1512 DOCTORS DR, BOSSIER CITY, LA 71111-3322
(318) 746-7272

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD.11148R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1451576
LA
05
1664766
LA
Enumeration date
06/13/2007
Last updated
08/25/2014
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