SOUTH LOUISIANA ENT, FACIAL PLASTIC & HAIR RESTORATION, APMC

MANDVILLE, LA
NPI1831402924
Entity TypeOrganization
Authorized ContactJASON M GUILLOT
Owner
985-327-5905
Organization Subpart ?No
Primary Taxonomy207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck
(Licence: LA  203549)
Additional Taxonomies207YS0012X 
(Licence: LA  203549)
207YS0123X Otolaryngology, Facial Plastic Surgery
(Licence: LA  203549)
207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery
(Licence: LA  203549)
Enumeration Date2010-07-19
Last Update Date2016-04-12
Business Address
SOUTH LOUISIANA ENT, FACIAL PLASTIC & HAIR RESTORATION, APMC
1420 NORTH CAUSEWAY BLVD
MANDVILLE, LA 70471
Phone number: 985-327-5905
Mailing Address
SOUTH LOUISIANA ENT, FACIAL PLASTIC & HAIR RESTORATION, APMC
1420 NORTH CAUSEWAY BLVD
MANDVILLE, LA 70471
Phone number: 985-327-5905