# THE GENERAL MEDICINE CLINIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** THE GENERAL MEDICINE CLINIC
- **Other names:** THE GENERAL MEDICINE CLINIC, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1073985396
- **Legal business name:** THE GENERAL MEDICINE CLINIC
- **Authorized official:** JANICE F LOWE-RODRIGUEZ (CEO)
- **Authorized official phone:** (337) 602-6302

## Contact information

- **Practice address:** 3608 KIRKMAN ST, LAKE CHARLES, LA 70607-3006
- **Practice address phone:** (337) 602-6302
- **Practice address fax:** (337) 594-0931
- **Mailing address:** 3608 KIRKMAN ST, LAKE CHARLES, LA 70607-3006
- **Mailing address phone:** (337) 602-6302

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/26/2015
- **Last updated:** 05/19/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2406442 | — | LA |