NPI 1295266195

Intraoperative Neurophysiological Monitoring

Organisation Prevention Professional Lacombe, LA

Practice location

Address: 29301 N Dixie Ranch Rd, Lacombe, LA 70445-5403
Phone: (985) 871-4114
Fax: (985) 871-4130

Authorised official

Name: John B Logan
Title: Partner
Phone: (985) 871-4114

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence MD.020254 (LA)

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Registry record

NPI: 1295266195
Entity type: Organization
NPI issued: 22 Mar 2017
Record last updated: 22 Mar 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.