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Organization

FAMILY RESPIRATORY SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELLE G FAWCETT RCP (OWNER)
(337) 855-0440
Entity
Organization

Contact information

Practice address
2880 N HIGHWAY 171, STE A, LAKE CHARLES, LA 70611-4330
(337) 855-0440
(337) 855-0446
Mailing address
2880 N HIGHWAY 171, STE A, LAKE CHARLES, LA 70611-4330
(337) 855-0440
(337) 855-0446

Taxonomy

Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1550612
LA
01
F2852
INSURANCE PROVIDER NUMBER
LA
Enumeration date
11/18/2005
Last updated
07/07/2008
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