| NPI | 1093983488 |
|---|---|
| Doing Business As | LAFAYETTE REGIONAL VEIN & LASER CENTER |
| Entity Type | Organization |
| Authorized Contact | MARTHA K MILLER Director Of Billing 765-446-5286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 202K00000X Phlebology (Licence: IN 01041607A) |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2012-11-21 |