EXECUTIVE MEDICAL CLINIC OF LAKE CHARLES

LAKE CHARLES, LA
NPI1982126520
Entity TypeOrganization
Authorized ContactMELISSA LEBRUN
President
225-939-0050
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: LA  AP06496)
Enumeration Date2017-07-14
Last Update Date2022-09-19
Business Address
EXECUTIVE MEDICAL CLINIC OF LAKE CHARLES
765 EAST BAYOU PINES DRIVE
LAKE CHARLES, LA 70601-5690
Phone number: 337-210-1260
Mailing Address
EXECUTIVE MEDICAL CLINIC OF LAKE CHARLES
765 EAST BAYOU PINES DRIVE
LAKE CHARLES, LA 70601-5690
Phone number: 337-210-1260
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