Lechtenberg And Foret Llc | |
235 Dr Michael Debakey Dr Lake Charles LA 70601-5974 | |
(337) 439-4000 | |
(337) 439-4033 |
Full Name | Lechtenberg And Foret Llc |
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Speciality | Family Medicine |
Location | 235 Dr Michael Debakey Dr, Lake Charles, Louisiana |
Authorized Official Name and Position | Keith Michael Lechtenberg (PHYSICIAN-OWNER) |
Authorized Official Contact | 3374394000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lechtenberg And Foret Llc 235 Dr Michael Debakey Dr Lake Charles LA 70601-5974 Ph: (337) 439-4000 | Lechtenberg And Foret Llc 235 Dr Michael Debakey Dr Lake Charles LA 70601-5974 Ph: (337) 439-4000 |
NPI Number | 1639225352 |
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Provider Enumeration Date | 01/26/2007 |
Last Update Date | 06/28/2016 |
Medicare PECOS PAC ID | 8426157868 |
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Medicare Enrollment ID | O20070626000073 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639225352 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Ryan T Foret |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1770593485 PECOS PAC ID: 7315026804 Enrollment ID: I20090815000077 |
Provider Name | Keith Lechtenberg |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1720060346 PECOS PAC ID: 4587763990 Enrollment ID: I20090815000086 |
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