Organization
LAKE CHARLES MEDICAL SERVICES, INC
Active
Other names
IOWA HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN JOHNSON (CFO)
(337) 494-2094
Entity
Organization
Contact information
Practice address
1717 OAK PARK BLVD, LAKE CHARLES, LA 70601-8991
(337) 582-7632
(337) 582-7656
Mailing address
PO BOX 123604, DEPT 3604, DALLAS, TX 75312-0001
(337) 582-7632
(337) 582-7656
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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