Organization
LAKE CHARLES PRIMARY CARE AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELVIN MARQUE MD (OWNER / MEDICAL DIRECTOR)
(337) 990-8000
Entity
Organization
Contact information
Practice address
1905 COUNTRY CLUB RD STE B, LAKE CHARLES, LA 70605-5203
(337) 990-8002
Mailing address
1905 COUNTRY CLUB RD, LAKE CHARLES, LA 70605-5203
(337) 990-8000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/22/2023
Last updated
06/26/2025
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