Southwest Louisiana Physicians, LLC
Internal Medicine in Lake Charles, LA. Organization (NPI-2).
NPI number1972384139
StatusActive
Last updated in NPPESJan 3, 2024
Details
- NPI
- 1972384139
- Entity type
- Organization (NPI-2)
- Legal business name
- Southwest Louisiana Physicians, LLC
- Organization subpart
- No
- Enumeration date
- Oct 12, 2023
- Certification date
- Jan 3, 2024
- Last updated
- Jan 3, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
| 208M00000X | Hospitalist | – | – | |
| 363A00000X | Physician Assistant | – | – | |
| 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
Other practice locations
524 Dr Michael Debakey Dr
Lake Charles, LA 70601-5725
Lake Charles, LA 70601-5725
Phone 337-436-2511
Authorized official
Lisha Falk
Vp Of Contracting
3376091221
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