Organization
LC OF LOUISIANA HEALTHCARE LLC
Active
Organization
LC OF LOUISIANA HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL CANDELARIO (SOLE MBR)
(210) 215-0990
Entity
Organization
Contact information
Practice address
1701 OAK PARK BLVD, LAKE CHARLES MEMORIAL HEALTH SYSTEM, LAKE CHARLES, LA 70601
(337) 494-3000
Mailing address
1009 MAIN ST, BASTROP, TX 78602-3840
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
03/20/2013
Last updated
03/20/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up