Organization
SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION INC
Active
Other names
Maternal Fetal Medicine Center of Lake Charles
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAWN JOHNSON (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) 480-7267
(337) 480-7467
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1796794
—
LA
Enumeration date
05/21/2007
Last updated
12/04/2023
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