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Organization

LAKE CHARLES AMBULATORY SURGERY CENTER, LP

Active
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Organization

LAKE CHARLES AMBULATORY SURGERY CENTER, LP

Active
Other names
Cardiovascular Outpatient Surgery Center of Southwest Louisiana
Organization subpart
No

Provider details

NPI number
Authorized official
KELLY BEMIS (AUTHORIZED OFFICIAL)
(858) 504-5667
Entity
Organization

Contact information

Practice address
401 DR MICHAEL DEBAKEY DR, SUITE 310, LAKE CHARLES, LA 70601-5864
(337) 602-9991
Mailing address
PO BOX 4417, DEPT #6026, HOUSTON, TX 77210-4417
(610) 644-8900
(484) 924-0053

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—

Other

Enumeration date
05/05/2016
Last updated
06/23/2023
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