Organization
LOUISIANA CARDIOVASCULAR AND LIMB SALVAGE CENTER, APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL DAVID ABRAHAM (CFO)
(337) 456-6525
Entity
Organization
Contact information
Practice address
4811 AMBASSADOR CAFFERY PARKWAY, SUITE 401A, LAFAYETTE, LA 70508
(337) 456-6523
(337) 456-6521
Mailing address
901 WILSON ST, LAFAYETTE, LA 70503-2439
(337) 456-6523
(337) 456-6521
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD07649R
LA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376060
—
LA
Enumeration date
10/10/2008
Last updated
07/09/2020
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