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THIBODAUX LASER AND SURGERY CENTER, LLC

Surgery Yellow Pages

Thibodaux, Louisiana

Provider NPI: 1073505616

Organization Information:
Organization Name:  THIBODAUX LASER AND SURGERY CENTER, LLC


Practice Location:
1101 AUDUBON AVE SUITE S4 THIBODAUX, LA 70301 US
Tel: 985-447-7246  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QA1903XAmbulatory Health Care Facilities
Clinic/Center
Ambulatory Surgical
LA107

Other Provider Identifiers:

IssuerNumberStateType
1113514LA05
RR MEDICARE49000539101
RR MEDICAREP0016821101
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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