New Haven Family Medicine
NPI #1174773881 in Lake Charles, Louisiana
Provider Information
- NPI Number
- 1174773881
- Entity Type
- Organization
- Organization Name
- New Haven Family Medicine
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Sep 30, 2008
- Last Updated
- Sep 30, 2008
Practice Location
- Address
- 333 S RYAN ST
- Address 2
- SUITE 120
- City
- Lake Charles
- State
- Louisiana
- ZIP Code
- 70601-5821
- Phone
- (337) 493-8480
Authorized Official
- Name
- ANTHONY KEHINDE ADEOSUN, MD
- Title
- OWNER
- Phone
- (337) 493-8480
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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