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