| Orthopaedic Reconstructive Sub-specialists, Llc | |
|
301 Rue Beauregard Suite C Lafayette LA 70508-8520 | |
| (337) 534-0653 | |
| Not Available |
| Full Name | Orthopaedic Reconstructive Sub-specialists, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 301 Rue Beauregard, Lafayette, Louisiana |
| Authorized Official Name and Position | Paul E Fenn (SOLE MEMBER) |
| Authorized Official Contact | 3375340653 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orthopaedic Reconstructive Sub-specialists, Llc 301 Rue Beauregard Suite C Lafayette LA 70508-8520 Ph: (337) 534-0653 | Orthopaedic Reconstructive Sub-specialists, Llc 301 Rue Beauregard Suite C Lafayette LA 70508-8520 Ph: (337) 534-0653 |
| NPI Number | 1821433087 |
|---|---|
| Provider Enumeration Date | 05/01/2013 |
| Last Update Date | 05/01/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821433087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | MD.200825 (Louisiana) | Primary |
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