Lakeshore Surgical Associates of La

NPI #1154973360 in Covington, Louisiana

Provider Information

NPI Number
1154973360
Entity Type
Organization
Organization Name
Lakeshore Surgical Associates of La
Primary Specialty
Surgery
Enumeration Date
Jul 9, 2019
Last Updated
Jul 9, 2019

Practice Location

Address
110 LAKEVIEW DR STE 200
ZIP Code
70433-7511
Phone
(985) 898-0589

Authorized Official

Name
RICHARD CELENTANO, MD
Title
PHYSICIAN/OWNER
Phone
(985) 898-0589

Specialties & Taxonomy Codes

Specialty
Surgery

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