Organization
LAKE CHARLES DIALYSIS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONY W LEUNG MD (MEDICAL DIRECTOR)
(337) 478-9585
Entity
Organization
Contact information
Practice address
1801 OAK PARK BLVD, LAKE CHARLES, LA 70601
(337) 478-9585
(337) 479-0338
Mailing address
PO BOX 4789, LAKE CHARLES, LA 70606-4789
(337) 478-9585
(337) 479-0338
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
101
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1654205
—
LA
Enumeration date
08/11/2005
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us