Organization
EXCEPTIONAL WELLNESS MEDICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SPRING N LANE FNP-C (MANAGER)
(337) 414-4877
Entity
Organization
Contact information
Practice address
4920 LAKE ST, LAKE CHARLES, LA 70605-6514
(337) 414-4877
(337) 469-2009
Mailing address
4920 LAKE ST, LAKE CHARLES, LA 70605-6514
(337) 414-4877
(337) 469-2009
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/22/2025
Last updated
12/22/2025
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