| NPI | 1023227915 |
|---|---|
| Doing Business As | MATERNAL FETAL MEDICINE CENTER OF LAKE CHARLES |
| Entity Type | Organization |
| Authorized Contact | DAWN JOHNSON CFO 337-494-2094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2023-12-04 |