| NPI | 1669494654 |
|---|---|
| Doing Business As | D/B/S INTERNAL MEDICINE CLINIC OF LAKE CHARLES |
| Entity Type | Organization |
| Authorized Contact | DAWN JOHNSON-HATCHER CFO 337-494-2094 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2022-07-18 |