Organization · Type 2 NPI

Lagniappe LLC

Ambulatory Surgical Clinic/Center · Fayetteville, GA

NPI number 1396188967 Active

Practice location

1975 Highway 54 W, Suite 100
Fayetteville, GA 30214-4794

Fax (770) 632-3731

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Surgical Clinic/Center Primary 261QA1903X0666736 (GA)

Ambulatory Surgical Clinic/Center: Definition to come...

4 other providers at this address

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About NPI 1396188967

Lagniappe LLC's National Provider Identifier is 1396188967, issued on Apr 12, 2013. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Fayetteville, GA. The record was last updated on Apr 12, 2013.