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Organization
LARRY A. HAUSKINS, MD
Active
Organization
LARRY A. HAUSKINS, MD
Active
Other names
Regional Cancer Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY ALLEN HAUSKINS MD (OWNER)
(337) 491-7569
Entity
Organization
Contact information
Practice address
524 S RYAN ST, LAKE CHARLES, LA 70601-5725
(337) 491-7569
(337) 491-7798
Mailing address
PO BOX 3046, LAKE CHARLES, LA 70602-3046
(337) 436-7560
(337) 433-9861
Taxonomy
Speciality
Code
Description
License number
State
2085R0203X
Therapeutic Radiology Physician
Primary
10266
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1330175
—
LA
Enumeration date
02/20/2007
Last updated
08/22/2020
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