Organization
SPINE INSTITUTE OF SOUTHWEST LOUISIANA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN J LASSEIGNE MD (OWNER / OPERATOR)
(504) 304-2752
Entity
Organization
Contact information
Practice address
501 W SAINT MARY BLVD, SUITE 416, LAFAYETTE, LA 70506-4600
(504) 304-2752
(504) 324-3416
Mailing address
501 W SAINT MARY BLVD, SUITE 416, LAFAYETTE, LA 70506-4600
(504) 304-2752
(504) 324-3416
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
203148
LA
Other
Enumeration date
07/23/2009
Last updated
07/23/2009
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