Calcasieu Emergency Group LLC
Emergency Medicine in Lake Charles, LA. Organization (NPI-2).
NPI number1215996467
StatusActive
Last updated in NPPESMar 23, 2022
Details
- NPI
- 1215996467
- Entity type
- Organization (NPI-2)
- Legal business name
- Calcasieu Emergency Group LLC
- Organization subpart
- No
- Enumeration date
- Mar 17, 2006
- Certification date
- Mar 23, 2022
- Last updated
- Mar 23, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | – | – | Yes |
| 363AM0700X | Physician Assistant, Medical | – | – | |
| 363L00000X | Nurse Practitioner | – | – |
Practice location
4200 Nelson RdLake Charles, LA 70605-4118
Phone 337-474-6370
Mailing address
200 Corporate BlvdLafayette, LA 70508-3870
Phone 800-893-9698
Authorized official
Lisha C Falk
Vp Of Contracting
3376091221
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