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Organization

IMPACT HEALTH & WELLNESS LAB, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KRISTIE PETE RN (DIRECTOR)
(337) 884-4934
Entity
Organization

Contact information

Practice address
3443 WATERVIEW DR, LAKE CHARLES, LA 70607-1006
(337) 884-4934
Mailing address
3443 WATERVIEW DR, LAKE CHARLES, LA 70607-1006
(337) 884-4934

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Enumeration date
02/03/2022
Last updated
02/03/2022
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