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1023430766
PROFESSIONAL EMERGENCY MEDICINE MANAGEMENT -- LAKE CHARLES LLC
LAKE CHARLES, LA
NPI
1023430766
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Entity Type
Organization
Authorized Contact
AMY D PROVOST
Authorized Official
337-534-0952
Organization Subpart ?
No
Primary Taxonomy
207P00000X Emergency Medicine
Enumeration Date
2014-01-15
Last Update Date
2022-03-22
Business Address
PROFESSIONAL EMERGENCY MEDICINE MANAGEMENT -- LAKE CHARLES LLC
1701 OAK PARK BLVD EMERGENCY DEPT
LAKE CHARLES, LA 70601-8911
Phone number: 337-494-3036
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Mailing Address
PROFESSIONAL EMERGENCY MEDICINE MANAGEMENT -- LAKE CHARLES LLC
PO BOX 722755
NORMAN, OK 73070-9088
Phone number: 405-240-9381
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