Leesville Dialysis Center, LLC

NPI #1497870885 in Leesville, Louisiana

Provider Information

NPI Number
1497870885
Entity Type
Organization
Organization Name
Leesville Dialysis Center, LLC
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Mar 21, 2007
Last Updated
Nov 16, 2020

Practice Location

Address
900 N 5TH ST STE 5
ZIP Code
71446-3530
Phone
(337) 392-5122

Authorized Official

Name
JAMES J DIVITO
Title
VICE PRESIDENT
Phone
(781) 699-9000

Specialties & Taxonomy Codes

Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) TreatmentEnd-Stage Renal Disease (ESRD) Treatment

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