| Lake Charles Medical Services, Inc | |
|
1717 Oak Park Blvd Lake Charles LA 70601-8991 | |
| (337) 582-7632 | |
| (337) 582-7656 |
| Full Name | Lake Charles Medical Services, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1717 Oak Park Blvd, 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 |
|---|---|
| Lake Charles Medical Services, Inc Po Box 123604, Dept 3604 Dallas TX 75312-0001 Ph: (337) 582-7632 | Lake Charles Medical Services, Inc 1717 Oak Park Blvd Lake Charles LA 70601-8991 Ph: (337) 582-7632 |
| NPI Number | 1003545815 |
|---|---|
| Provider Enumeration Date | 06/07/2022 |
| Last Update Date | 06/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003545815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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