Clinic808 LLC
NPI #1194681551 in Lake Charles, Louisiana
Provider Information
- NPI Number
- 1194681551
- Entity Type
- Organization
- Organization Name
- Clinic808 LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Dec 30, 2025
- Last Updated
- Dec 30, 2025
Practice Location
- Address
- 6105 W MYRTLE BAY DR
- City
- Lake Charles
- State
- Louisiana
- ZIP Code
- 70605-3149
- Phone
- (337) 564-0001
Authorized Official
- Name
- DR. ROBERT DALE BERNAUER JR., MD
- Title
- OWNER
- Phone
- (337) 564-0001
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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