Organization
INJURY TREATMENT CENTER OF LOUISIANA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID GUZAN (MANAGING MEMBER)
(985) 377-9877
Entity
Organization
Contact information
Practice address
15814 PROFESSIONAL PLZ, HAMMOND, LA 70403-1453
(985) 956-7216
(985) 956-7186
Mailing address
222 N VERMONT ST STE N, COVINGTON, LA 70433-3240
(985) 956-7216
(985) 956-7186
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
12/06/2018
Last updated
12/06/2018
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