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Organization
M&M FAMILY CLINIC, INC.
Active
Organization
M&M FAMILY CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELVIN MORRIS M D (VICE PRESIDENT)
(337) 439-4220
Entity
Organization
Contact information
Practice address
1432 FOURNET ST, LAKE CHARLES, LA 70601-2452
(337) 439-4220
(337) 439-6351
Mailing address
1432 FOURNET ST, LAKE CHARLES, LA 70601-2452
(337) 439-4220
(337) 439-6351
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
R050908
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1106798
—
LA
05
—
1448681
—
LA
Enumeration date
09/29/2006
Last updated
08/22/2020
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