Lsuhsc Family Practice Center @ Lcmh
NPI #1073514493 in Lake Charles, Louisiana
Provider Information
- NPI Number
- 1073514493
- Entity Type
- Organization
- Organization Name
- Lsuhsc Family Practice Center @ Lcmh
- Primary Specialty
- Family Medicine
- Enumeration Date
- Aug 9, 2005
- Last Updated
- Dec 4, 2023
Practice Location
- Address
- 1525 OAK PARK BLVD
- City
- Lake Charles
- State
- Louisiana
- ZIP Code
- 70601-8849
- Phone
- (337) 494-6767
Authorized Official
- Name
- DAWN JOHNSON-HATCHER
- Title
- CFO
- Phone
- (337) 494-2094
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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