institution
Thibodaux Laser And Surgery Center, Llc
Ambulatory Surgical Clinic/Center in Thibodaux, Louisiana
NPI 1073505616

Thibodaux Laser And Surgery Center, Llc is an Ambulatory Surgical Clinic/Center based in Thibodaux, LA and is specialized in Ambulatory Surgical. Thibodaux Laser And Surgery Center, Llc practices in Thibodaux, LA. The NPI Number for Thibodaux Laser And Surgery Center, Llc is 1073505616 and holds a License No. 107 (Louisiana).

The current practice location address for Thibodaux Laser And Surgery Center, Llc is 105 Saint Bernard St, Thibodaux, LA and can be reached out via phone at 985-446-0506 and via fax at 985-448-1521.

Location: 105 Saint Bernard St, Thibodaux, LA, 70301-6549
institution
Provider Profile Details
NPI Number
1073505616
Provider Name
Thibodaux Laser And Surgery Center, Llc
Credential
Provider Entity Type
Organization
Address
105 Saint Bernard St, Thibodaux, LA, 70301-6549
Phone Number
985-446-0506
Fax Number
985-448-1521
Provider Enumeration Date
08/19/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1113514 05 LA
490005391 01 RR MEDICARE
P00168211 01 RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
105 Saint Bernard St
City
State
Zip
70301-6549
Phone Number
985-446-0506
Fax Number
985-448-1521
person
Provider Business Mailing Address Details
Address
105 Saint Bernard St
City
State
Zip
70301-6549
Phone Number
985-446-0506
Fax Number
985-448-1521
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
107 (Louisiana)
Definition
Definition to come...
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