| |
145 Victoria Dr Lake Charles LA 70611-4641 | |
(337) 855-9773 | |
(337) 855-9776 |
Full Name | |
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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 |
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145 Victoria Dr Lake Charles LA 70611-4641 Ph: (337) 855-9773 | 145 Victoria Dr Lake Charles LA 70611-4641 Ph: (337) 855-9773 |
NPI Number | 1134545676 |
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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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