CARDIOVASCULAR SPECIALTIES OF LOUISIANA LLC NPI 1275159790

NPI Information

  • NPI: 1275159790
  • Provider Name: CARDIOVASCULAR SPECIALTIES OF LOUISIANA LLC
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Organization
  • Address: 3311 PRESCOTT RD STE 312
    ALEXANDRIA, LA
    ZIP 71301
  • Phone: (318) 528-1998

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NPI Details

CARDIOVASCULAR SPECIALTIES OF LOUISIANA LLC is a vascular surgery surgery in Alexandria, LA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. CARDIOVASCULAR SPECIALTIES OF LOUISIANA LLC NPI is 1275159790. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3311 PRESCOTT RD STE 312
ALEXANDRIA, LA
ZIP 71301-984
Phone: (318) 528-1998

The provider's authorized official is Julie Defeo .
The authorized official title is Admin Assist and has the following contact phone number (318) 447-1075.

The enumeration date for this NPI number is 6/20/2020 and was last updated on 6/21/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0129XSurgeryVascular SurgeryYes

What is NPI?

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This page was last updated on: 3/30/2025

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