Organization
THE PLASTIC SURGERY CENTER OF SOUTHWEST LOUISIANA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RALPH W COLPITTS MD (OWNER)
(337) 502-8706
Entity
Organization
Contact information
Practice address
215 W PRIEN LAKE RD, LAKE CHARLES, LA 70601-8450
(337) 502-8706
(337) 210-1271
Mailing address
215 W PRIEN LAKE RD, LAKE CHARLES, LA 70601-8450
(337) 502-8706
(337) 210-1271
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD05703R
LA
Other
Enumeration date
10/24/2007
Last updated
09/14/2022
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