Healthcare Provider Details

I. General information

NPI: 1992975775
Provider Name (Legal Business Name): LSUHN BILLING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2008
Last Update Date: 12/04/2024
Certification Date: 12/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2390 W CONGRESS ST
LAFAYETTE LA
70506-4205
US

IV. Provider business mailing address

478 S JOHNSON ST FL 6
NEW ORLEANS LA
70112-2238
US

V. Phone/Fax

Practice location:
  • Phone: 877-988-1890
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ATARA MCAVOY
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 504-412-1819