# LAKE CHARLES MEDICAL SERVICES, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION
- **Other names:** Cardiovascular-Thoracic Surgery Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1699717231
- **Legal business name:** SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION
- **Authorized official:** DAVID B USHER (VICE PRESIDENT)
- **Authorized official phone:** (337) 494-3200

## Contact information

- **Practice address:** 1717 OAK PARK BLVD, SECOND FLOOR, LAKE CHARLES, LA 70601-8991
- **Practice address phone:** (337) 494-6799
- **Practice address fax:** (337) 430-6950
- **Mailing address:** 1717 OAK PARK BLVD, SECOND FLOOR, LAKE CHARLES, LA 70601-8991
- **Mailing address phone:** (337) 494-6799
- **Mailing address fax:** (337) 430-6950

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/11/2006
- **Last updated:** 04/23/2008