LAKESIDE MEDICAL WELLNESS CLINIC

SULPHUR, LA
NPI1235315516
Entity TypeOrganization
Authorized ContactGEORGE E SMITH
Owner
337-527-9529
Organization Subpart ?No
Primary Taxonomy305R00000X Preferred Provider Organization
Enumeration Date2008-01-16
Last Update Date2022-07-21
Business Address
LAKESIDE MEDICAL WELLNESS CLINIC
110 E DARBONNE ST STE B
SULPHUR, LA 70663-4958
Phone number: 337-527-9529
Mailing Address
LAKESIDE MEDICAL WELLNESS CLINIC
110 E DARBONNE ST STE B
SULPHUR, LA 70663-4958
Phone number: 337-527-9529