Provider Demographics
NPI:1982383360
Name:INFUSIONS SERVICES OF LOUISIANA, LLC
Entity Type:Organization
Organization Name:INFUSIONS SERVICES OF LOUISIANA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PIC
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHARBONNET
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-901-8880
Mailing Address - Street 1:101 LA RUE FRANCE STE 100
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-3138
Mailing Address - Country:US
Mailing Address - Phone:337-901-8880
Mailing Address - Fax:337-901-8881
Practice Address - Street 1:101 LA RUE FRANCE STE 100
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-3138
Practice Address - Country:US
Practice Address - Phone:337-901-8880
Practice Address - Fax:337-901-8881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-13
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy