| Danielle L Mclurkin Md Inc | |
|
1403 Oak Park Blvd Lake Charles LA 70601-8847 | |
| (337) 491-1009 | |
| (337) 491-0602 |
| Full Name | Danielle L Mclurkin Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1403 Oak Park Blvd, Lake Charles, Louisiana |
| Authorized Official Name and Position | Danielle Lavonne Mclurkin (PRESIDENT/PHYSICIAN) |
| Authorized Official Contact | 3374911009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Danielle L Mclurkin Md Inc Po Box 5420 Lake Charles LA 70606-5420 Ph: (337) 491-1009 | Danielle L Mclurkin Md Inc 1403 Oak Park Blvd Lake Charles LA 70601-8847 Ph: (337) 491-1009 |
| NPI Number | 1932388576 |
|---|---|
| Provider Enumeration Date | 10/31/2007 |
| Last Update Date | 10/31/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932388576 | NPI | - | NPPES |
| 1162965 | Medicaid | LA | |
| 4F630CR38 | Other | LA | MEDICARE LINK NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 15205R (Louisiana) | Primary |
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