Organization
LAKE AREA MEDICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL JOSEPH BERTRAND JR. LPN (OWNER/MANAGER)
(337) 532-1829
Entity
Organization
Contact information
Practice address
2420 COUNTRY CLUD RD, LAKE CHARLES, LA 70605
(337) 532-1829
(337) 240-8882
Mailing address
900 COUNTRY CLUB ROAD, LAKE CHARLES, LA 70605
(337) 532-1829
(337) 240-8882
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
20130793
LA
251J00000X
Nursing Care Agency
20130793
LA
376K00000X
Nurse's Aide
20130793
LA
Other
Enumeration date
11/17/2015
Last updated
11/17/2015
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