Organization · NPI-2

Advanced Medical And Chiropractic

General Practice · Lake Charles, LA

NPI number1023565009
StatusActive
Last updated in NPPESSep 7, 2016

Details

NPI
1023565009
Entity type
Organization (NPI-2)
Legal business name
Advanced Medical And Chiropractic
Organization subpart
No
Enumeration date
Sep 7, 2016
Last updated
Sep 7, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208D00000X General PracticeMD.018335LAYes
111N00000X Chiropractor1330LA

Practice location

1528 E Prien Lake Rd
Ste B
Lake Charles, LA 70601-8978

Phone 337-479-2057 · Fax 337-479-2099

Mailing address

1528 E Prien Lake Rd
Ste B
Lake Charles, LA 70601-8978

Phone 337-479-2057 · Fax 337-479-2099

Authorized official

Lauren E Dunn-Perrin
Office Manager
3374792057

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