Organization
LOUISIANA SLEEP DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE JASPER GRAVES DDS (MANAGING PARTNER)
(228) 865-3998
Entity
Organization
Contact information
Practice address
2020 W PINHOOK RD, SUITE 303, LAFAYETTE, LA 70508-3290
(337) 289-0241
(337) 289-0243
Mailing address
PO BOX 180, WATSON, LA 70786-0180
(337) 289-0241
(337) 289-0243
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F8022
BLUE CROSSW/BLUE SHIELD
LA
Enumeration date
07/28/2006
Last updated
08/22/2020
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