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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EXECUTIVE MEDICAL CLINIC OF LAKE CHARLES

Active Organization

EXECUTIVE MEDICAL CLINIC OF LAKE CHARLES is a Family Medicine organization located in LAKE CHARLES, Louisiana. NPI 1982126520 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · LAKE CHARLES, LA

Registration Details

NPI Number
1982126520
Provider Type
Organization
NPI Issued
Jul 14, 2017 (9.1059365933676 yrs)
Last Updated
Sep 19, 2022
License
AP06496 (LA)

Practice Information

Address
765 EAST BAYOU PINES DRIVE
LAKE CHARLES, LA, 706015690
Browse LA providers · Browse ZIP 70601
Phone
3372101260
Primary Specialty
Family Medicine
207Q00000X
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.