Organization · Type 2 NPI

Northlake Surgical Associates, Ltd A Professional Medical Corporation

Specialist · Covington, LA

NPI number 1962531483 Active

Practice location

606 W 11th Ave
Covington, LA 70433-3630

Fax (985) 893-9567

Mailing address

PO Box 128
Covington, LA 70434-0128

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: 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.

8 other providers at this address

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About NPI 1962531483

Northlake Surgical Associates, Ltd A Professional Medical Corporation's National Provider Identifier is 1962531483, issued on Mar 2, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Covington, LA. The record was last updated on Oct 28, 2010.