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Organization

LCMS J WILLIAM GROVES, MD, LLC

Active
Parent organization
LAKE CHARLES MEDICAL SERVICES, INC
Other names
J William Groves MD
Organization subpart
Yes

Provider details

NPI number
Legal business name
LAKE CHARLES MEDICAL SERVICES, INC
Authorized official
MR. TODD A DELAHOUSSAYE MD (SR. V.P. OF PHYSICIAN AND SPECIALIT)
(337) 494-3208
Entity
Organization

Contact information

Practice address
1890 W GAUTHIER RD STE 130, LAKE CHARLES, LA 70605-7179
(337) 480-5530
(337) 480-5531
Mailing address
PO BOX 2267, LAKE CHARLES, LA 70602-2267
(337) 480-5530
(337) 480-5531

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Enumeration date
11/09/2010
Last updated
11/11/2010
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