ORTHO CLINIC - PROFESSIONAL MEDICAL

NEW IBERIA, LA
NPI1528108503
Entity TypeOrganization
Authorized ContactEDWARD J LISECKI
Physician
337-364-5310
Organization Subpart ?No
Primary Taxonomy207X00000X Orthopaedic Surgery
(Licence: LA  26008)
Enumeration Date2007-02-07
Last Update Date2013-01-16
Business Address
ORTHO CLINIC - PROFESSIONAL MEDICAL
516 JEFFERSON TERRRACE BLVD SUITE 100
NEW IBERIA, LA 70560-4948
Phone number: 337-364-5310
Mailing Address
ORTHO CLINIC - PROFESSIONAL MEDICAL
516 JEFFERSON TER SUITE 100
NEW IBERIA, LA 70560-4980
Phone number: 337-364-5310
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