Organization
MEDXCEL LETRIOMPHE, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT DESORMEAUX (OWNER)
(337) 893-0788
Entity
Organization
Contact information
Practice address
174 HERITAGE, STE H, BROUSSARD, LA 70518-8046
(337) 856-7500
Mailing address
121 TIVOLI ST, ABBEVILLE, LA 70510-5173
(337) 893-0788
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD021637
LA
Other
Enumeration date
09/04/2007
Last updated
06/23/2008
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