Organization
LGH SURGICAL CLINIC
Active
Other names
Lincoln Surgical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS J STONE (CEO)
(318) 254-2450
Entity
Organization
Contact information
Practice address
411 E VAUGHN AVE, SUITE 200, RUSTON, LA 71270-5972
(318) 255-1212
(318) 513-1599
Mailing address
411 E VAUGHN AVE, SUITE 200, RUSTON, LA 71270-5972
(318) 255-1212
(318) 513-1599
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1449202
—
LA
Enumeration date
06/04/2006
Last updated
08/22/2020
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