Organization
ENDOCRINOLOGY CENTER OF SOUTHWEST LA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY RAYFORD GILBERT MD (OWNER)
(337) 494-4765
Entity
Organization
Contact information
Practice address
2770 3RD AVE, SUITE 345, LAKE CHARLES, LA 70601-8994
(337) 494-4765
(337) 494-4766
Mailing address
PO BOX 4390, LAKE CHARLES, LA 70606-4390
(337) 494-4765
(337) 494-4766
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/24/2007
Last updated
12/24/2007
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