NPI 1306025598

The Plastic Surgery Center of Southwest Louisiana, LLC

Organisation Plastic Surgery Physician Lake Charles, LA

Practice location

Address: 215 W Prien Lake Rd, Lake Charles, LA 70601-8450
Phone: (337) 502-8706
Fax: (337) 210-1271

Authorised official

Name: Ralph W Colpitts
Title: Owner
Phone: (337) 502-8706

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence MD05703R (LA)

Other Plastic Surgery providers in Louisiana →

Registry record

NPI: 1306025598
Entity type: Organization
NPI issued: 24 Oct 2007
Record last updated: 14 Sep 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.