Organization
SOUTHWEST LOUISIANA BREAST SURGEONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATHEW JAMES (BILLING MANAGER)
(631) 827-8159
Entity
Organization
Contact information
Practice address
917 COOLIDGE BLVD, LAFAYETTE, LA 70503-2433
(631) 827-8159
(631) 368-1538
Mailing address
917 COOLIDGE BLVD, LAFAYETTE, LA 70503-2433
(631) 827-8159
(631) 368-1538
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
200218
LA
Other
Enumeration date
07/16/2015
Last updated
07/16/2015
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