| NPI | 1093983488 |
|---|---|
| Doing Business As | LAFAYETTE REGIONAL VEIN & LASER CENTER |
| Entity Type | Organization |
| Authorized Contact | HEATHER DAWSON Director Of Billing 765-446-5417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 202K00000X (Licence: IN 01041607A) |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2024-10-18 |