Organization
HARVARD SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEON WATKINS DPM (MEDICAL DIRECTOR)
(504) 454-3004
Entity
Organization
Contact information
Practice address
2520 HARVARD AVE, SUITE 2A, METAIRIE, LA 70001
(504) 378-3668
(504) 378-3669
Mailing address
2520 HARVARD AVE, SUITE 2A, METAIRIE, LA 70001
(504) 378-3668
(504) 378-3669
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
165
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
165
STATE LICENSE
LA
01
—
19D1091786
CLIA WAIVER
LA
Enumeration date
05/05/2008
Last updated
06/18/2024
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