Organization
SURGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANELL MICHELLE CORMIER (OWNER)
(337) 806-5997
Entity
Organization
Contact information
Practice address
125 COOKIE LN, LAKE CHARLES, LA 70615-3003
(337) 349-9278
Mailing address
125 COOKIE LN, LAKE CHARLES, LA 70615-3003
(337) 349-9278
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
02/20/2018
Last updated
10/04/2024
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