| Ochsner Clinic Llc | |
|
401 Dr Michael Debakey Dr Lake Charles LA 70601-5864 | |
| (337) 436-6100 | |
| (337) 430-3186 |
| Full Name | Ochsner Clinic Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 401 Dr Michael Debakey Dr, Lake Charles, Louisiana |
| Authorized Official Name and Position | Eduardo Benitez (DIRECTOR) |
| Authorized Official Contact | 5048426933 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ochsner Clinic Llc 1514 Jefferson Hwy New Orleans LA 70121-2429 Ph: (504) 842-4000 | Ochsner Clinic Llc 401 Dr Michael Debakey Dr Lake Charles LA 70601-5864 Ph: (337) 436-6100 |
| NPI Number | 1679045488 |
|---|---|
| Provider Enumeration Date | 12/19/2018 |
| Last Update Date | 12/19/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679045488 | NPI | - | NPPES |
| 1798118 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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