Organization
VEIN CENTER OF SOUTHWEST LOUISIANA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA S CONNER (BUSINESS MANAGER)
(337) 263-3886
Entity
Organization
Contact information
Practice address
525 SHELL BEACH DR, LAKE CHARLES, LA 70601-5730
(337) 263-3886
Mailing address
525 SHELL BEACH DR, LAKE CHARLES, LA 70601-5730
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/22/2013
Last updated
11/27/2013
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