# MEDICAL & OCCUPATIONAL CLINIC OF LAKE CHARLES, L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467406926
- **Authorized official:** DR. LIWLIWA QUITORIANO RAMOS (MANAGER)
- **Authorized official phone:** (337) 478-2573

## Contact information

- **Practice address:** 2770 3RD AVE, SUITE 225, LAKE CHARLES, LA 70601-8994
- **Practice address phone:** (337) 478-2573
- **Practice address fax:** (337) 478-5296
- **Mailing address:** 2770 3RD AVE, SUITE 225, LAKE CHARLES, LA 70601-8994
- **Mailing address phone:** (337) 478-2573
- **Mailing address fax:** (337) 478-5296

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/20/2006
- **Last updated:** 08/22/2020