Foundations Pediatric Center LLC
NPI #1942069737 in Lake Charles, Louisiana
Provider Information
- NPI Number
- 1942069737
- Entity Type
- Organization
- Organization Name
- Foundations Pediatric Center LLC
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Mar 15, 2024
- Last Updated
- Aug 16, 2024
Practice Location
- Address
- 4300 LAKE ST
- City
- Lake Charles
- State
- Louisiana
- ZIP Code
- 70605
- Phone
- (337) 304-9391
Authorized Official
- Name
- JESSICA PARDO
- Title
- OWNER/PARTNER
- Phone
- (337) 304-9391
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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