Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PEDIATRUST LAKE CHARLES, LLC
Active OrganizationPEDIATRUST LAKE CHARLES, LLC is a Exclusive Provider Organization organization located in LAKE CHARLES, Louisiana. NPI 1518359165 is currently active in the NPPES registry. Verify at CMS.
Exclusive Provider Organization · LAKE CHARLES, LA
Registration Details
- NPI Number
- 1518359165
- Provider Type
- Organization
- NPI Issued
- Feb 19, 2015 (11.500341636515 yrs)
- Last Updated
- Feb 19, 2015
- License
-
2203782281 (LA)
Practice Information
- Address
-
4250 5TH AVELAKE CHARLES, LA, 706073900Browse LA providers · Browse ZIP 70607
- Phone
- 3375627818
- Primary Specialty
-
Exclusive Provider Organization
302F00000X
Other Exclusive Provider Organization Organizations in LAKE CHARLES, LA
| Name | NPI |
|---|---|
| DIVINITYCARES, INCORPORATION | 1841280104 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.