NPI 1376901694

Calcasieu Urgent Care LLC

Organisation Dermatology Physician Lake Charles, LA

Practice location

Address: 242 Sam Houston Jones Pkwy, Lake Charles, LA 70611-5603
Phone: (337) 905-4000
Fax: (337) 905-4003

Authorised official

Name: Sydni Clemmons
Title: Credentialing Manager
Phone: (901) 351-1791

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Other Dermatology providers in Louisiana →

Registry record

NPI: 1376901694
Entity type: Organization
NPI issued: 1 Feb 2016
Record last updated: 6 Apr 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.