Organization
LCMS CARDIOVASCULAR DISEASES, LLC
Active
Parent organization
LAKE CHARLES MEDICAL SERVICES, INC.
Other names
MMG Anesthesia
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAKE CHARLES MEDICAL SERVICES, INC.
Authorized official
DAWN JOHNSON-HATCHER (CFO)
(337) 494-2094
Entity
Organization
Contact information
Practice address
2750 ASTER ST, LAKE CHARLES, LA 70601-8824
(337) 480-8900
(337) 480-8901
Mailing address
PO BOX 122431, DEPT 2431, DALLAS, TX 75312-2431
(337) 494-2921
(337) 494-6523
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
15-00013315
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2408569
—
LA
Enumeration date
05/19/2009
Last updated
12/04/2023
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