Organization · NPI-2

Regional Physicians Network-Lake Charles INC

Internal Medicine · Lake Charles, LA

NPI number1912972886
StatusActive
Last updated in NPPESApr 29, 2014

Details

NPI
1912972886
Entity type
Organization (NPI-2)
Legal business name
Regional Physicians Network-Lake Charles INC
Organization subpart
No
Enumeration date
Feb 22, 2006
Last updated
Apr 29, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine––Yes
207VG0400X Obstetrics & Gynecology, Gynecology––
208600000X Surgery––
207N00000X Dermatology––
207W00000X Ophthalmology––
208000000X Pediatrics––
207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine––

Practice location

1000 Walters St
Lake Charles, LA 70607-4647

Phone 337-475-8429

Mailing address

Po Box 4610
Lake Charles, LA 70606-4610

Phone 337-312-1446 · Fax 337-312-1490

Authorized official

Scott E Bergstedt
Owner/President
3374758429

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