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Organization
ST. LUKE'S DIAGNOSTIC CLINIC OF LAKE CHARLES, L.L.C.
Active
Organization
ST. LUKE'S DIAGNOSTIC CLINIC OF LAKE CHARLES, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN P BARRILLEAUX M.D. (OWNER)
(337) 439-2000
Entity
Organization
Contact information
Practice address
643 S RYAN ST, LAKE CHARLES, LA 70601-5726
(337) 439-2000
(337) 439-2025
Mailing address
643 S RYAN ST, LAKE CHARLES, LA 70601-5726
(337) 439-2000
(337) 439-2025
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
017896
LA
Other
Enumeration date
07/28/2006
Last updated
08/22/2020
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