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Organization

LCMS SURGICAL ASSOCIATES OF SOUTHWEST LOUSIANA, LLC

Active
Parent organization
LAKE CHARLES MEDICAL SERVICES, INC
Other names
Surgical Associates of Southwest Louisiana
Organization subpart
Yes

Provider details

NPI number
Legal business name
LAKE CHARLES MEDICAL SERVICES, INC
Authorized official
DAWN JOHNSON-HATCHER (CFO)
(337) 494-2094
Entity
Organization

Contact information

Practice address
2770 3RD AVE, SUITE 120, LAKE CHARLES, LA 70601-8994
(337) 494-4868
(337) 494-4870
Mailing address
PO BOX 122342, DEPT 2342, DALLAS, TX 75312-0001
(337) 494-2921
(337) 494-6523

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
10-00013733
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10-00013733
OCCUPATIONAL LICENSE
LA
Enumeration date
07/12/2010
Last updated
12/04/2023
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