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Organization
LCMS MATERNAL FETAL MEDICINE, LLC
Active
Organization
LCMS MATERNAL FETAL MEDICINE, LLC
Active
Parent organization
LAKE CHARLES MEDICAL SERVICES, INC
Other names
Maternal Fetal Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAKE CHARLES MEDICAL SERVICES, INC
Authorized official
DAWN JOHNSON-HATCHER (CFO)
(337) 494-2094
Entity
Organization
Contact information
Practice address
1900 W GAUTHIER RD, LAKE CHARLES, LA 70605-7170
(337) 480-7267
(337) 480-7467
Mailing address
PO BOX 122616 DEPT 2616, DALLAS, TX 75312-0001
(337) 494-2921
(337) 494-6523
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2137824
—
LA
Enumeration date
12/01/2010
Last updated
12/04/2023
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