Memorial Medical Group, LLC
NPI #1750846663 in Lake Charles, Louisiana
Provider Information
- NPI Number
- 1750846663
- Entity Type
- Organization
- Organization Name
- Memorial Medical Group, LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Feb 5, 2019
- Last Updated
- Jun 11, 2019
Practice Location
- Address
- 1701 OAK PARK BLVD
- City
- Lake Charles
- State
- Louisiana
- ZIP Code
- 70601-8911
- Phone
- (337) 494-3000
Authorized Official
- Name
- SARAH THERESA LEBLANC
- Title
- BUSINESS OFFICE ANALYST /PROGRAMMER
- Phone
- (337) 494-2577
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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