Organization
LOUISIANA LAPAROENDOSCOPIC SURGICAL CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD F. NOREM II M.D. (PRESIDENT)
(318) 448-1040
Entity
Organization
Contact information
Practice address
301 4TH ST, ALEXANDRIA, LA 71301-8423
(318) 448-1040
(318) 448-0548
Mailing address
301 4TH ST, PO BOX 30148, ALEXANDRIA, LA 71301-8423
(318) 448-1040
(318) 448-0548
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
020067
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1988782
—
LA
Enumeration date
04/16/2007
Last updated
06/12/2017
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