| NPI | 1811355779 |
|---|---|
| Other Name | LAKE CHARLES VA CLINIC |
| Entity Type | Organization |
| Authorized Contact | ERIN POTTER Npi Team Member 202-382-2579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QV0200X Clinic/Center, VA |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2017-10-26 |