Organization · Type 2 NPI
Thibodaux Laser and Surgery Center, LLC
Ambulatory Surgical Clinic/Center · Thibodaux, LA
NPI number
1073505616
Active
Practice location
105 Saint Bernard St
Thibodaux, LA 70301-6549
Fax (985) 448-1521
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | 107 (LA) |
Ambulatory Surgical Clinic/Center: Definition to come...
Other ambulatory surgical clinic/center providers in Thibodaux
About NPI 1073505616
Thibodaux Laser and Surgery Center, LLC's National Provider Identifier is 1073505616, issued on Aug 19, 2005. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Thibodaux, LA. The record was last updated on Nov 22, 2022.