NPI 1043814486
Headache and Wellness Center of Southwest Louisiana, LLC
Practice location
- Address
- 803 W Bayou Pines Dr STE B, Lake Charles, LA 70601-7096
- Phone
- (337) 508-2333
Authorised official
- Name
- Darci L Portie
- Title
- Owner
- Phone
- (337) 508-2333
Registered specialties (2)
Clinic/Center
Primary
Nurse Practitioner
Registry record
- NPI
- 1043814486
- Entity type
- Organization
- NPI issued
- 25 Nov 2020
- Record last updated
- 1 Sep 2021
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.