Lakeside Medical Wellness Clinic

NPI #1407147234 in Sulphur, Louisiana

Provider Information

NPI Number
1407147234
Entity Type
Organization
Organization Name
Lakeside Medical Wellness Clinic
Primary Specialty
Clinic/Center
Enumeration Date
Apr 27, 2011
Last Updated
Apr 27, 2011

Practice Location

Address
1908 MAPLEWOOD DR
Address 2
SUITE B
ZIP Code
70663-6000
Phone
(337) 625-5050

Authorized Official

Name
STACY W KIRKUM
Title
ADMINISTRATOR
Phone
(337) 625-5050

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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