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1972147387
ENT AND ALLERGY CLINIC LLC
LAKE CHARLES, LA
NPI
1972147387
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Entity Type
Organization
Authorized Contact
BRAD W LEBERT
Owner/Physician
337-312-4355
Organization Subpart ?
No
Primary Taxonomy
207Y00000X Otolaryngology
Enumeration Date
2019-10-30
Last Update Date
2019-10-30
Business Address
ENT AND ALLERGY CLINIC LLC
1615 WOLF CIR
LAKE CHARLES, LA 70605-2348
Phone number: 337-312-8681
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Mailing Address
ENT AND ALLERGY CLINIC LLC
1615 WOLF CIR
LAKE CHARLES, LA 70605-2348
Phone number: 337-312-8681
Copy
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