Organization
APOLLO MEDICAL GROUP OF LAKE CHARLES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN VAN SPRUNDEL (DIRECTOR OF ADMINISTRATION)
(941) 725-1198
Entity
Organization
Contact information
Practice address
5150 ROBOTICS LANE, LAKE CHARLES, LA 70605
(337) 214-2900
Mailing address
PO BOX 4326, SPRINGFIELD, IL 62708-4326
(941) 725-1198
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
09/13/2022
Last updated
04/05/2023
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