Organization
THE GENERAL MEDICINE CLINIC, LLC
Active
Parent organization
THE GENERAL MEDICINE CLINIC
Other names
THE GENERAL MEDICINE CLINIC, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE GENERAL MEDICINE CLINIC
Authorized official
JANICE F LOWE-RODRIGUEZ (CEO)
(337) 602-6302
Entity
Organization
Contact information
Practice address
3608 KIRKMAN ST, LAKE CHARLES, LA 70607-3006
(337) 602-6302
(337) 594-0931
Mailing address
3608 KIRKMAN ST, LAKE CHARLES, LA 70607-3006
(337) 602-6302
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2406442
—
LA
Enumeration date
10/26/2015
Last updated
05/19/2016
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