Organization
LAKE AREA PHYSICIAN SERVICES LLC
Active
Parent organization
LAKE AREA PHYSICIAN SERVICES LLC
Other names
Lake Area Physicians
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAKE AREA PHYSICIAN SERVICES LLC
Authorized official
MS. DEBBIE T. BREWER MBA (DIRECTOR)
(877) 892-9813
Entity
Organization
Contact information
Practice address
4150 NELSON RD, BLDG G, LAKE CHARLES, LA 70605-4148
(337) 475-4787
Mailing address
PO BOX 9224, BELFAST, ME 04915-9224
(877) 848-1457
(615) 465-3017
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1442682
—
LA
Enumeration date
04/27/2010
Last updated
12/21/2010
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