Vein Center of Southwest Louisiana LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

VEIN CENTER OF SOUTHWEST LOUISIANA LLC

Practice address

525 Shell Beach Dr
Lake Charles, LA 70601-5730

Phone

(337) 263-3886

NPI assigned

Nov 22, 2013

Last updated

Nov 27, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lisa S Conner

Title

Business Manager

Phone

(337) 263-3886

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1385078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385510400000",
    "number": "1952731275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 SHELL BEACH DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 SHELL BEACH DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015730",
            "telephone_number": "337-263-3886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEIN CENTER OF SOUTHWEST LOUISIANA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-22",
        "last_updated": "2013-11-27",
        "status": "A",
        "authorized_official_last_name": "CONNER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "337-263-3886"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Irene Vaussine, DPT
• VCP 2 Louisiana Professional Corporation (Vein Guys)
• Vcphcs VI, LLC (BHG Lake Charles Treatment Center)
• Jessica G Veillon, MS, LAT, ATC
• Nicole L Veillon, PHARMD
• Kenneth Steven Verheeck, M.D.
• Carol Cheyenne Vermillion, M.A.
• Bethany Ardoin Verret, PA-C
• Austin Verrett, PHARMD
• Lori Lyn Verzwyvelt, RPH

• Clinic/Center in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.