| Vcp 2 Louisiana | |
|
750 Bayou Pines East Dr Lake Charles LA 70601-7184 | |
| (866) 328-8346 | |
| (706) 854-2149 |
| Full Name | Vcp 2 Louisiana |
|---|---|
| Speciality | Internal Medicine |
| Location | 750 Bayou Pines East Dr, Lake Charles, Louisiana |
| Authorized Official Name and Position | Jewell Halliburton (REGIONAL PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 7068881256 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vcp 2 Louisiana 1109 Medical Center Dr Bldg 1a Augusta GA 30909-6633 Ph: (866) 328-8346 | Vcp 2 Louisiana 750 Bayou Pines East Dr Lake Charles LA 70601-7184 Ph: (866) 328-8346 |
| NPI Number | 1679396907 |
|---|---|
| Provider Enumeration Date | 11/05/2024 |
| Last Update Date | 11/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679396907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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Family Medical Center. Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2750 Aster St, Lake Charles, LA 70601 Phone: 337-478-2650 Fax: 337-478-8183 | |
Cardiovascular Outpatient Center Of Southwest Louisiana Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 401 Dr Michael Debakey Dr, Suite 300, Lake Charles, LA 70601 Phone: 337-602-9991 | |
Washington-marion Sbhc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2802 Pineview St, Lake Charles, LA 70615 Phone: 337-217-4540 Fax: 337-439-5029 | |
Headache And Wellness Center Of Southwest Louisiana, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 803 W Bayou Pines Dr Ste B, Lake Charles, LA 70601 Phone: 337-508-2333 | |
Imperial Health, Llp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 501 Dr Michael Debakey Dr, Lake Charles, LA 70601 Phone: 337-433-8400 Fax: 337-312-6708 | |
Kndl Partners Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4200 Nelson Rd, Lake Charles, LA 70605 Phone: 337-475-4748 Fax: 337-944-4421 |