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Northlake Surgical Associates, Ltd A Professional Medical Corporation
Specialist in Covington, Louisiana
NPI 1962531483

Northlake Surgical Associates, Ltd A Professional Medical Corporation is a Specialist based in Covington, LA. Northlake Surgical Associates, Ltd A Professional Medical Corporation practices in Covington, LA. The NPI Number for Northlake Surgical Associates, Ltd A Professional Medical Corporation is 1962531483 and holds a License No. (Louisiana).

The current practice location address for Northlake Surgical Associates, Ltd A Professional Medical Corporation is 606 W 11Th Ave, Covington, LA and can be reached out via phone at 985-892-3766 and via fax at 985-893-9567.

Location: 606 W 11Th Ave, Covington, LA, 70434-0128
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962531483
Provider Name
Northlake Surgical Associates, Ltd A Professional Medical Corporation
Credential
Provider Entity Type
Organization
Address
606 W 11Th Ave, Covington, LA, 70434-0128
Phone Number
985-892-3766
Fax Number
985-893-9567
Provider Enumeration Date
03/02/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1791873 05 LA
institution
Provider Business Practice Location Address Details
Address
606 W 11Th Ave
City
Covington
State
Louisiana
Zip
70433-3630
Phone Number
985-892-3766
Fax Number
985-893-9567
person
Provider Business Mailing Address Details
Address
606 W 11Th Ave
City
Covington
State
Louisiana
Zip
70433-3630
Phone Number
985-892-3766
Fax Number
985-893-9567
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
(Louisiana)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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