Jennette Bergstedt MD LLC
NPI #1427174549 in Lake Charles, Louisiana
Provider Information
- NPI Number
- 1427174549
- Entity Type
- Organization
- Organization Name
- Jennette Bergstedt MD LLC
- Primary Specialty
- Clinic/Center - Medical Specialty
- Enumeration Date
- Mar 21, 2007
- Last Updated
- Jun 26, 2008
Practice Location
- Address
- 4150 NELSON RD STE E1
- City
- Lake Charles
- State
- Louisiana
- ZIP Code
- 70605-4133
- Phone
- (337) 474-2933
Authorized Official
- Name
- DR. JENNETTE SEPULVADO BERGSTEDT, MD
- Title
- OWNER
- Phone
- (337) 474-2933
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Medical Specialty — Medical Specialty |
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