| Mcneese State University | |
|
4205 Ryan Street Lake Charles LA 70609 | |
| (337) 475-5457 | |
| Not Available |
| Full Name | Mcneese State University |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4205 Ryan Street, Lake Charles, Louisiana |
| Authorized Official Name and Position | Eddie Meche (VICE PRESIDENT OF BUSINESS AFFAIRS) |
| Authorized Official Contact | 3374755501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcneese State University Box 91895 Lake Charles LA 70609-1895 Ph: (337) 475-5457 | Mcneese State University 4205 Ryan Street Lake Charles LA 70609 Ph: (337) 475-5457 |
| NPI Number | 1851616262 |
|---|---|
| Provider Enumeration Date | 03/30/2010 |
| Last Update Date | 03/30/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851616262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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