Organization
CENTRAL LOUISIANA AMBULATORY SURGICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DON LIEDTKE (CFO)
(615) 344-5507
Entity
Organization
Contact information
Practice address
651 N BOLTON AVE, ALEXANDRIA, LA 71301-7449
(318) 443-3511
(318) 443-5628
Mailing address
651 N BOLTON AVE, ALEXANDRIA, LA 71301-7449
(318) 443-3511
(318) 443-5628
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/06/2007
Last updated
08/22/2020
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