NPI | 1710685896 |
---|---|
Doing Business As | LAFAYETTE VEIN AND VASCULAR |
Entity Type | Organization |
Authorized Contact | SHOAIB SHAFIQUE CEO 317-938-3989 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
Enumeration Date | 2023-02-20 |
Last Update Date | 2023-02-20 |