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1306025598
THE PLASTIC SURGERY CENTER OF SOUTHWEST LOUISIANA, LLC
LAKE CHARLES, LA
NPI
1306025598
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Entity Type
Organization
Authorized Contact
RALPH W COLPITTS
Owner
337-502-8706
Organization Subpart ?
No
Primary Taxonomy
208200000X Plastic Surgery
(Licence: LA MD05703R)
Enumeration Date
2007-10-24
Last Update Date
2022-09-14
Business Address
THE PLASTIC SURGERY CENTER OF SOUTHWEST LOUISIANA, LLC
215 W PRIEN LAKE RD
LAKE CHARLES, LA 70601-8450
Phone number: 337-502-8706
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Mailing Address
THE PLASTIC SURGERY CENTER OF SOUTHWEST LOUISIANA, LLC
215 W PRIEN LAKE RD
LAKE CHARLES, LA 70601-8450
Phone number: 337-502-8706
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