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Organization

SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION INC

Active
Other names
Family Medical Clinic of SWLA
Organization subpart
No

Provider details

NPI number
Authorized official
DAWN JOHNSON (CFO)
(337) 494-2094
Entity
Organization

Contact information

Practice address
1890 W GAUTHIER RD STE 155, LAKE CHARLES, LA 70605-7119
(337) 480-5550
(337) 480-5568
Mailing address
PO BOX 122539, DEPT 2539, DALLAS, TX 75312-0001
(337) 480-5550
(337) 480-5568

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
01/18/2007
Last updated
12/04/2023
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