| Family Medical Clinic Of Swla | |
|
1890 W Gauthier Rd Ste 155 Lake Charles LA 70605-7119 | |
| (337) 480-5550 | |
| (337) 480-5568 |
| Full Name | Family Medical Clinic Of Swla |
|---|---|
| Speciality | Family Medicine |
| Location | 1890 W Gauthier Rd Ste 155, Lake Charles, Louisiana |
| Authorized Official Name and Position | Dawn Johnson (CFO) |
| Authorized Official Contact | 3374942094 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medical Clinic Of Swla Po Box 122539, Dept 2539 Dallas TX 75312-0001 Ph: (337) 480-5550 | Family Medical Clinic Of Swla 1890 W Gauthier Rd Ste 155 Lake Charles LA 70605-7119 Ph: (337) 480-5550 |
| NPI Number | 1235281239 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 12/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235281239 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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