Organization
TRINA HEALTH OF LAKE CHARLES, LLC
Active
Organization
TRINA HEALTH OF LAKE CHARLES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY BONO (CHIEF FINANCIAL OFFICER)
(337) 602-6091
Entity
Organization
Contact information
Practice address
1714 WOLF CIRCLE, LAKE CHARLES, LA 70605-4050
(337) 240-9511
(337) 240-9510
Mailing address
630 W PRIEN LAKE RD, STE B-111, LAKE CHARLES, LA 70601-0700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/06/2016
Last updated
10/12/2016
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