Organization
PLASTIC SURGERY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUCILLE C HARVIN (ADMINISTRATOR)
(337) 233-5025
Entity
Organization
Contact information
Practice address
1101 SOUTH COLLEGE ROAD, SUITE 400, LAFAYETTE, LA 70503
(337) 233-5025
(337) 233-5054
Mailing address
1101 SOUTH COLLEGE ROAD, SUITE 400, LAFAYETTE, LA 70503
(337) 233-5025
(337) 233-5054
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
02/21/2007
Last updated
02/06/2013
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