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1316106628
LAKE END SURGERY LLC
MORGAN CITY, LA
NPI
1316106628
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Entity Type
Organization
Authorized Contact
NWOSU O NGOFA
Physician
985-384-0897
Organization Subpart ?
No
Primary Taxonomy
208600000X Surgery
(Licence: LA 201984)
Enumeration Date
2008-06-03
Last Update Date
2008-06-03
Business Address
LAKE END SURGERY LLC
1300 LAKEWOOD DR SUITE A
MORGAN CITY, LA 70380-1866
Phone number: 985-384-0897
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Mailing Address
LAKE END SURGERY LLC
PO BOX 1898
MORGAN CITY, LA 70381-1898
Phone number: 985-384-0897
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