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UROLOGY SPECIALTY AND SURGERY CENTER OF SOUTHWEST LOUISIANA

Surgery Yellow Pages

Lake Charles, Louisiana

Provider NPI: 1942282256

Organization Information:
Organization Name:  UROLOGY SPECIALTY AND SURGERY CENTER OF SOUTHWEST LOUISIANA


Practice Location:
234 DR MICHAEL DEBAKEY DR  LAKE CHARLES, LA 70601 US
Tel: 337-439-8857  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QA1903XAmbulatory Health Care Facilities
Clinic/Center
Ambulatory Surgical
LA42

Other Provider Identifiers:

IssuerNumberStateType
RAILROAD MEDICARE490001185LA01
BLUE CROSS BLUE SHIELD2097CLA01
1390429LA05
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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