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NPI Code Detail

MEDICARE: LOUISIANA SLEEP FOUNDATION, LLC

MEDICARE: LOUISIANA SLEEP FOUNDATION, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QS1200XSleep Disorder Diagnostic Clinic/Center

General Provider Information

NPI Number : 1053356998
Entity Type Code : Organization
Provider Name (Legal Business Name) : LOUISIANA SLEEP FOUNDATION, LLC
Provider Business Mailing Address
First Line : 4660 BLUEBONNET BLVD
Second Line :
City : BATON ROUGE
State : LA
Zip : 70809-9632
Country : US
Telephone Number : 225-767-8550
Fax Number : 225-767-8556
Provider Business Practice Location Address
First Line : 4660 BLUEBONNET BLVD
Second Line :
City : BATON ROUGE
State : LA
Zip : 70809-9632
Country : US
Telephone Number : 225-767-8550
Fax Number : 225-767-8556
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : DR. J. KYLE SCHWAB
Credential : M.D.
Telephone Number : 225-767-8550
Provider Enumeration Date : 06/17/2006
Last Update Date : 05/01/2017

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Directions to “LOUISIANA SLEEP FOUNDATION, LLC ” Practice Location

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