Organization
CENTER FOR ORTHOPAEDICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARGARET JANSSEN (ADMINISTRATOR)
(337) 721-7236
Entity
Organization
Contact information
Practice address
1747 IMPERIAL BOULEVARD, LAKE CHARLES, LA 70605
(337) 721-7236
(337) 721-7237
Mailing address
PO BOX 1807, LAKE CHARLES, LA 70602-1807
(337) 721-7236
(337) 721-7237
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
LA
208100000X
Physical Medicine & Rehabilitation Physician
—
LA
213E00000X
Podiatrist
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1945111
—
LA
01
—
CI9478
RAILROAD MEDICARE GRP
LA
Enumeration date
10/02/2006
Last updated
07/01/2009
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