Organization
LAKE CHARLES INTRAOPERATIVE NEUROMONITORING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY B HOLLAND CNIM (OWENER)
(337) 884-4550
Entity
Organization
Contact information
Practice address
701 W SCHOOL ST, LAKE CHARLES, LA 70605-2760
(133) 788-4455
Mailing address
701 W SCHOOL ST, LAKE CHARLES, LA 70605-2760
(337) 884-4550
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/29/2021
Last updated
07/29/2021
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