Organization
LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER
Active
Other names
LSUHSC-S Dialysis Unit
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELANIE H SOTAK MHSA (DIRECTOR OF MANAGED CARE)
(318) 675-7737
Entity
Organization
Contact information
Practice address
1501 KINGS HWY, DIALYSIS UNIT, SHREVEPORT, LA 71103-4228
(318) 675-5000
(318) 675-5666
Mailing address
1501 KINGS HWY, DIALYSIS UNIT, SHREVEPORT, LA 71103-4228
(318) 675-5000
(318) 675-5666
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
005
LA
Other
Enumeration date
01/24/2007
Last updated
10/25/2007
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