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LOUISIANA CARDIAC VASCULAR AND PULMONARY REHAB LLC NPI 1023654712


NPI Information

NPI: 1023654712
Provider Name: LOUISIANA CARDIAC VASCULAR AND PULMONARY REHAB LLC
Classification: Registered Nurse - 163WC3500X
Entity Type: Organization

Specialization: Cardiac Rehabilitation

Address:
2701 JOHNSTON STREET
STE 100
LAFAYETTE, LA
ZIP 70503
Phone: (337) 261-2633
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LOUISIANA CARDIAC VASCULAR AND PULMONARY REHAB LLC is a cardiac rehabilitation registered nurse in Lafayette, LA. LOUISIANA CARDIAC VASCULAR AND PULMONARY REHAB LLC NPI is 1023654712. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2701 JOHNSTON STREET
STE 100
LAFAYETTE, LA
ZIP 70503
Phone: (337) 261-2633

The provider's authorized official is Raghotham R Patiola .
The authorized official title is Ceo and has the following contact phone number (337) 261-2633.

The enumeration date for this NPI number is 11/18/2019 and was last updated on 11/18/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163WC3500XRegistered NurseCardiac RehabilitationYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12701MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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