Thibodaux Laser And Surgery Center, Llc

NPI 1073505616 - Clinic/Center - 261QA1903X

NPI Details
NPI 1073505616
Enumeration Date 08/19/2005
Last Updated 03/07/2008
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name QUENTIN D. QUENTIN
Position MANAGER
Phone (985) 447-7246
Fax (985) 446-7614
Practice Location
1101 AUDUBON AVE
SUITE S4
THIBODAUX LA, 70301-4957, US
Phone (985) 447-7246
Fax (985) 446-7614
Business Location
1101 AUDUBON AVE
SUITE S4
THIBODAUX LA, 70301-4957, US
Phone (985) 447-5938
Fax (985) 448-1521
Toxanomy
Taxonomy Code 261QA1903X
License State Louisiana
License Number 107
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According to our database, Thibodaux Laser And Surgery Center, Llc NPI is 1073505616, taxonomy code is 261QA1903X and license number is 107, license state is located at Louisiana. Thibodaux Laser And Surgery Center, Llc physically located at 1101 Audubon Ave, Thibodaux LA, 70301-4957. NPI Number 1033115704 has the healthcare provider type.

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1073505616 NPI number is provided on an as is basis without warranty of any kind. 1073505616 is maintained by the National Plan & Provider Enumeration System. The contents of Thibodaux Laser And Surgery Center, Llc are for informational purposes only.