LAKESIDE MEDICAL WELLNESS CLINIC

SULPHUR, LA
NPI1407147234
Entity TypeOrganization
Authorized ContactSTACY W KIRKUM
Administrator
337-625-5050
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
(Licence: LA  MD14484R)
Enumeration Date2011-04-27
Last Update Date2011-04-27
Business Address
LAKESIDE MEDICAL WELLNESS CLINIC
1908 MAPLEWOOD DR SUITE B
SULPHUR, LA 70663-6000
Phone number: 337-625-5050
Mailing Address
LAKESIDE MEDICAL WELLNESS CLINIC
1908 MAPLEWOOD DR SUITE B
SULPHUR, LA 70663-6000
Phone number: 337-625-5050
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