Organization
LAFAYETTE WEIGHT LOSS CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD MYRON LAHASKY M.D. (PHYSCIAN/OWNER)
(337) 456-3553
Entity
Organization
Contact information
Practice address
5439 JOHNSTON ST, LAFAYETTE, LA 70503-5135
(337) 456-3553
(337) 408-3347
Mailing address
5439 JOHNSTON ST, LAFAYETTE, LA 70503-5135
(337) 456-3553
(337) 408-3347
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD.020878
LA
Other
Enumeration date
06/27/2016
Last updated
06/27/2016
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