Organization
SWLHS, INC.
Active
Other names
Medical Oncology Associates of SW La
Organization subpart
No
Provider details
NPI number
Authorized official
STACI NORTON (PROVIDER ENROLLMENT SUPERVISOR)
(337) 494-2921
Entity
Organization
Contact information
Practice address
2770 3RD AVE STE 210, LAKE CHARLES, LA 70601-0404
(337) 494-6768
(337) 494-6792
Mailing address
PO BOX 122579 DEPT 2579, DALLAS, TX 75312-0001
(373) 494-6768
(337) 494-6792
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1444553
—
LA
Enumeration date
03/27/2007
Last updated
12/04/2023
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