Organization
LARRY A. HAUSKINS, MD
Active
Other names
Regional Cancer Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY ALLEN HAUSKINS MD (OWNER)
(337) 491-7569
Entity
Organization
Contact information
Practice address
524 S RYAN ST, LAKE CHARLES, LA 70601-5725
(337) 491-7569
(337) 491-7798
Mailing address
PO BOX 3046, LAKE CHARLES, LA 70602-3046
(337) 436-7560
(337) 433-9861
Taxonomy
Speciality
Code
Description
License number
State
2085R0203X
Therapeutic Radiology Physician
Primary
10266
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1330175
—
LA
Enumeration date
02/20/2007
Last updated
08/22/2020
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