Organization
EAGLE RADIOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LILLIAN W CAVIN MD (OWNER)
(318) 473-6293
Entity
Organization
Contact information
Practice address
352 HOSPITAL BLVD, PINEVILLE, LA 71361
(318) 473-6293
Mailing address
PO BOX 12670, ALEXANDRIA, LA 71315-2670
(318) 473-6293
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC7001
RAILROAD MEDICARE
LA
Enumeration date
07/04/2006
Last updated
07/21/2022
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