Provider First Line Business Practice Location Address:
4801 AMBASSADOR CAFFERY PKWY
Provider Second Line Business Practice Location Address:
DEPT OF RADIOLOGY
Provider Business Practice Location Address City Name:
LAFAYETTE
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70508-6917
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
337-470-2180
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/25/2007