| Memorial Medical Group, Llc | |
|
1701 Oak Park Blvd Lake Charles LA 70601-8911 | |
| (337) 494-3000 | |
| Not Available |
| Full Name | Memorial Medical Group, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1701 Oak Park Blvd, Lake Charles, Louisiana |
| Authorized Official Name and Position | Sarah Theresa Leblanc (BUSINESS OFFICE ANALYST /PROGRAMMER) |
| Authorized Official Contact | 3374942577 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Memorial Medical Group, Llc 1701 Oak Park Blvd Lake Charles LA 70601-8911 Ph: (337) 494-3000 | Memorial Medical Group, Llc 1701 Oak Park Blvd Lake Charles LA 70601-8911 Ph: (337) 494-3000 |
| NPI Number | 1750846663 |
|---|---|
| Provider Enumeration Date | 02/05/2019 |
| Last Update Date | 06/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750846663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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