| Louisiana Limb Salvage Wound Care And Hyperbaric Center Llc | |
|
901 Wilson St Lafayette LA 70503-2439 | |
| (337) 315-0238 | |
| Not Available |
| Full Name | Louisiana Limb Salvage Wound Care And Hyperbaric Center Llc |
|---|---|
| Speciality | General Practice |
| Location | 901 Wilson St, Lafayette, Louisiana |
| Authorized Official Name and Position | Rebecca L Ledford (MEMBER) |
| Authorized Official Contact | 3373150238 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Louisiana Limb Salvage Wound Care And Hyperbaric Center Llc Po Box 53724 Lafayette LA 70505-3724 Ph: (337) 315-0238 | Louisiana Limb Salvage Wound Care And Hyperbaric Center Llc 901 Wilson St Lafayette LA 70503-2439 Ph: (337) 315-0238 |
| NPI Number | 1578171740 |
|---|---|
| Provider Enumeration Date | 07/14/2020 |
| Last Update Date | 08/26/2020 |
| Medicare PECOS PAC ID | 9830515451 |
|---|---|
| Medicare Enrollment ID | O20200813001371 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578171740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | David E Allie |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1760489728 PECOS PAC ID: 0244213635 Enrollment ID: I20040608000592 |
| Provider Name | Andy G Quebedeaux |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922138965 PECOS PAC ID: 6800976747 Enrollment ID: I20080104000583 |
| Provider Name | Jeffery R Grizzaffi |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1508000381 PECOS PAC ID: 8224178520 Enrollment ID: I20091217000412 |
| Provider Name | Juan Paredes |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144326901 PECOS PAC ID: 8628104544 Enrollment ID: I20100330001325 |
| Provider Name | James Antonio Noriega |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1962538678 PECOS PAC ID: 2668583238 Enrollment ID: I20120209000230 |
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