Provider Demographics
NPI:1528942620
Name:CASLCASIEU SURGICAL ANESTHESIA, LLC
Entity type:Organization
Organization Name:CASLCASIEU SURGICAL ANESTHESIA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JENNY
Authorized Official - Middle Name:
Authorized Official - Last Name:BONO
Authorized Official - Suffix:
Authorized Official - Credentials:FACHE
Authorized Official - Phone:337-214-1591
Mailing Address - Street 1:5150 ROBOTICS LN
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70605-5284
Mailing Address - Country:US
Mailing Address - Phone:337-214-2900
Mailing Address - Fax:
Practice Address - Street 1:5150 ROBOTICS LN
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70605-5284
Practice Address - Country:US
Practice Address - Phone:337-214-2900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JOINT REPLACEMENT CENTER OF LOUISIANA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-08-01
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty