NPI 1003545815
Lake Charles Medical Services, INC
Practice location
- Address
- 1717 Oak Park Blvd, Lake Charles, LA 70601-8991
- Phone
- (337) 582-7632
- Fax
- (337) 582-7656
- Mailing address
- PO Box 123604, Dept 3604, Dallas, TX 75312-0001
Authorised official
- Name
- Dawn Johnson
- Title
- Cfo
- Phone
- (337) 494-2094
Registered specialties
Internal Medicine Physician
Primary
Registry record
- NPI
- 1003545815
- Entity type
- Organization
- NPI issued
- 7 Jun 2022
- Record last updated
- 7 Jun 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.