| NPI | 1720750557 |
|---|---|
| Other Name | LAKE CHARLES MEMORIAL |
| Entity Type | Organization |
| Authorized Contact | WILLIAM BRENT CEO 337-296-9177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 208000000X Pediatrics | |
| Enumeration Date | 2021-09-30 |
| Last Update Date | 2023-04-13 |