Minor Medical Clinic LLC
NPI #1720008675 in Lake Charles, Louisiana
Provider Information
- NPI Number
- 1720008675
- Entity Type
- Organization
- Organization Name
- Minor Medical Clinic LLC
- Primary Specialty
- Clinic/Center - Health Service
- Enumeration Date
- Jul 20, 2006
- Last Updated
- Nov 5, 2010
Practice Location
- Address
- 109 EXECUTIVE DR.
- Address 2
- SUITE C
- City
- Lake Charles
- State
- Louisiana
- ZIP Code
- 70611-5328
- Phone
- (337) 217-0922
Authorized Official
- Name
- KAREN MARIE WHITEHEAD, ARPN
- Title
- FAMILY NURSE PRACTITIONER
- Phone
- (337) 217-0922
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
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