Organization
LAKE AREA PHYSICIAN SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON MARKHAM (CEO)
(469) 282-2612
Entity
Organization
Contact information
Practice address
10071 HWY 385, LAKE CHARLES, LA 70607
(337) 905-2151
Mailing address
10071 HIGHWAY 385, LAKE CHARLES, LA 70607-8672
(337) 905-2151
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/30/2017
Last updated
07/21/2022
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