Organization · NPI-2
Lcms Maternal Fetal Medicine, LLC
Obstetrics & Gynecology, Maternal & Fetal Medicine · Lake Charles, LA
NPI number1801198528
StatusActive
Last updated in NPPESDec 4, 2023
Details
- NPI
- 1801198528
- Entity type
- Organization (NPI-2)
- Legal business name
- Lcms Maternal Fetal Medicine, LLC
- Organization subpart
- Yes
- Enumeration date
- Dec 1, 2010
- Certification date
- Dec 4, 2023
- Last updated
- Dec 4, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207VM0101X | Obstetrics & Gynecology, Maternal & Fetal Medicine | – | – | Yes |
Other names
- Maternal Fetal Medicine (Doing Business As)
Practice location
1900 W Gauthier RdLake Charles, LA 70605-7170
Phone 337-480-7267 · Fax 337-480-7467
Mailing address
Po Box 122616 Dept 2616Dallas, TX 75312-0001
Phone 337-494-2921 · Fax 337-494-6523
Authorized official
Dawn Johnson-Hatcher
Cfo
3374942094
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