| Lake Area Physician Services Llc | |
|
4200 Nelson Rd Lake Charles LA 70605-4118 | |
| (337) 474-6370 | |
| (337) 475-4143 |
| Full Name | Lake Area Physician Services Llc |
|---|---|
| Speciality | Obstetrics & Gynecology |
| Location | 4200 Nelson Rd, Lake Charles, Louisiana |
| Authorized Official Name and Position | Debbie E Brewer (DIRECTOR OF PROVIDER ENROLLMENT) |
| Authorized Official Contact | 8778929813 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Area Physician Services Llc 4200 Nelson Rd Lake Charles LA 70605-4118 Ph: (377) 474-6370 | Lake Area Physician Services Llc 4200 Nelson Rd Lake Charles LA 70605-4118 Ph: (337) 474-6370 |
| NPI Number | 1770543076 |
|---|---|
| Provider Enumeration Date | 03/23/2006 |
| Last Update Date | 09/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770543076 | NPI | - | NPPES |
| 1442682 | Medicaid | LA |
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