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Organization
DANIELLE L MCLURKIN MD INC
Active
Organization
DANIELLE L MCLURKIN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIELLE LAVONNE MCLURKIN M.D. (PRESIDENT/PHYSICIAN)
(337) 491-1009
Entity
Organization
Contact information
Practice address
1403 OAK PARK BLVD, LAKE CHARLES, LA 70601-8847
(337) 491-1009
(337) 491-0602
Mailing address
PO BOX 5420, LAKE CHARLES, LA 70606-5420
(337) 491-1009
(337) 491-0602
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15205R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1162965
—
LA
01
—
4F630CR38
MEDICARE LINK NUMBER
LA
Enumeration date
10/31/2007
Last updated
10/31/2007
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