COASTAL SURGERY CENTER, LLC

LAKE CHARLES, LA
NPI1962633636
Entity TypeOrganization
Authorized ContactKRISTI WIDCAMP
Manager
337-477-9019
Organization Subpart ?No
Primary Taxonomy261QP3300X Clinic/Center, Pain
Enumeration Date2009-07-29
Last Update Date2013-04-22
Business Address
COASTAL SURGERY CENTER, LLC
215 W PRIEN LAKE RD SUITE B
LAKE CHARLES, LA 70601-8450
Phone number: 337-477-9019
Mailing Address
COASTAL SURGERY CENTER, LLC
PO BOX 4838
LAKE CHARLES, LA 70606-4838
Phone number: 337-477-9019
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