NPI | 1922429141 |
---|---|
Doing Business As | LAFAYETTE REGIONAL VEIN & LASER CENTER |
Entity Type | Organization |
Authorized Contact | MARLIN WADE SCHUL President 765-807-2770 |
Organization Subpart ? | No |
Primary Taxonomy | 202K00000X |
Enumeration Date | 2013-12-16 |
Last Update Date | 2013-12-16 |