| New Beginnings At Lake Charles Clinic | |
|
145 Victoria Dr Lake Charles LA 70611-4641 | |
| (337) 855-9773 | |
| (337) 855-9776 |
| Full Name | New Beginnings At Lake Charles Clinic |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 145 Victoria Dr, Lake Charles, Louisiana |
| Authorized Official Name and Position | Jennifer Sonnier (CFO) |
| Authorized Official Contact | 3378559773 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Beginnings At Lake Charles Clinic 145 Victoria Dr Lake Charles LA 70611-4641 Ph: (337) 855-9773 | New Beginnings At Lake Charles Clinic 145 Victoria Dr Lake Charles LA 70611-4641 Ph: (337) 855-9773 |
| NPI Number | 1134545676 |
|---|---|
| Provider Enumeration Date | 03/07/2014 |
| Last Update Date | 05/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134545676 | NPI | - | NPPES |
| 2183273 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (Louisiana) | Primary |
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