| Humphries Family Healthcare, Llc | |
|
3101 Lake St Suite 128 Lake Charles LA 70601-8337 | |
| (337) 479-0212 | |
| Not Available |
| Full Name | Humphries Family Healthcare, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3101 Lake St, Lake Charles, Louisiana |
| Authorized Official Name and Position | Charles Torrell Humphries (OWNER/DOCTOR) |
| Authorized Official Contact | 3372634958 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Humphries Family Healthcare, Llc Po Box 4492 Lake Charles LA 70606-4492 Ph: (337) 479-0212 | Humphries Family Healthcare, Llc 3101 Lake St Suite 128 Lake Charles LA 70601-8337 Ph: (337) 479-0212 |
| NPI Number | 1538244884 |
|---|---|
| Provider Enumeration Date | 10/26/2006 |
| Last Update Date | 11/01/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538244884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 024656 (Louisiana) | Primary |
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