Organization
LAG ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY MASCAGNI CRNA (OWNER)
(318) 737-7577
Entity
Organization
Contact information
Practice address
1601 LOUISVILLE AVE, MONROE, LA 71201-6027
(318) 998-5555
Mailing address
PO BOX 570, LAKE FOREST, IL 60045-0570
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
10/07/2016
Last updated
10/07/2016
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