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1982861407
LAKE CHARLES MEDICAL & SURGICAL CLINIC
LAKE CHARLES, LA
NPI
1982861407
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Entity Type
Organization
Authorized Contact
KRIS HICKINGBOTTOM
CEO
337-433-8400
Organization Subpart ?
No
Primary Taxonomy
261QU0200X Clinic/Center, Urgent Care
Enumeration Date
2008-05-21
Last Update Date
2008-05-21
Business Address
LAKE CHARLES MEDICAL & SURGICAL CLINIC
4320 LAKE ST
LAKE CHARLES, LA 70605-4310
Phone number: 337-433-8400
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Mailing Address
LAKE CHARLES MEDICAL & SURGICAL CLINIC
501 S RYAN ST
LAKE CHARLES, LA 70601-5724
Phone number:
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