| Lakeside Medical Wellness Clinic | |
|
1908 Maplewood Dr Suite B Sulphur LA 70663-6000 | |
| (337) 625-5050 | |
| (337) 625-6726 |
| Full Name | Lakeside Medical Wellness Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 1908 Maplewood Dr, Sulphur, Louisiana |
| Authorized Official Name and Position | Stacy W Kirkum (ADMINISTRATOR) |
| Authorized Official Contact | 3376255050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeside Medical Wellness Clinic 1908 Maplewood Dr Suite B Sulphur LA 70663-6000 Ph: (337) 625-5050 | Lakeside Medical Wellness Clinic 1908 Maplewood Dr Suite B Sulphur LA 70663-6000 Ph: (337) 625-5050 |
| NPI Number | 1407147234 |
|---|---|
| Provider Enumeration Date | 04/27/2011 |
| Last Update Date | 04/27/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407147234 | NPI | - | NPPES |
| 1476269 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | MD14484R (Louisiana) | Primary |
Davies Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1114 Stelly Ln, Sulphur, LA 70663 Phone: 337-528-7316 Fax: 337-528-7884 | |
Maplewood Family Medicine Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3702 Maplewood Dr, Sulphur, LA 70663 Phone: 337-625-5459 Fax: 337-626-2045 | |
Calcasieu Family Physicians, Apmc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 920 1st Ave, Sulphur, LA 70663 Phone: 337-527-6530 Fax: 337-527-7337 | |
Sulphur Urgent Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3924 Maplewood Dr, Sulphur, LA 70663 Phone: 337-626-0078 Fax: 337-626-0330 | |
Grimball & Richert Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 920 1st Ave, Sulphur, LA 70663 Phone: 337-527-6301 Fax: 337-527-9194 | |
Community Health Center Of West Calcasieu Cameron Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 703 Cypress St Ste A, Sulphur, LA 70663 Phone: 337-310-0395 Fax: 337-310-0392 | |
Imperial Health, Llp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1327 Stelly Lane, Suite 3, Sulphur, LA 70663 Phone: 337-310-3670 Fax: 337-421-1408 |