Lasalle Dialysis LLC
NPI #1194470872 in Coudersport, Pennsylvania
Provider Information
- NPI Number
- 1194470872
- Entity Type
- Organization
- Organization Name
- Lasalle Dialysis LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- DAVITA INC
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Feb 21, 2022
- Last Updated
- Mar 21, 2024
Practice Location
- Address
- 1001 E 2ND ST
- City
- Coudersport
- State
- Pennsylvania
- ZIP Code
- 16915-8161
- Phone
- (814) 655-3779
Authorized Official
- Name
- SAMUEL WEY
- Title
- VP L&C DEPT
- Phone
- (615) 341-6641
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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