Organization · NPI-2

Southwest Louisiana Hospital Association INC

Obstetrics & Gynecology, Maternal & Fetal Medicine · Lake Charles, LA

NPI number1023227915
StatusActive
Last updated in NPPESDec 4, 2023

Details

NPI
1023227915
Entity type
Organization (NPI-2)
Legal business name
Southwest Louisiana Hospital Association INC
Organization subpart
No
Enumeration date
May 21, 2007
Certification date
Dec 4, 2023
Last updated
Dec 4, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine––Yes

Other names

  • Maternal Fetal Medicine Center Of Lake Charles (Doing Business As)

Practice location

1900 W Gauthier Rd
Lake Charles, LA 70605-7170

Phone 337-480-7267 · Fax 337-480-7467

Mailing address

Po Box 122616, Dept 2616,
Dallas, TX 75312-0001

Phone 337-480-7267 · Fax 337-480-7467

Authorized official

Dawn Johnson
Cfo
3374942094

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