Organization
MEDICAL & OCCUPATIONAL CLINIC OF LAKE CHARLES, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LIWLIWA QUITORIANO RAMOS (MANAGER)
(337) 478-2573
Entity
Organization
Contact information
Practice address
2770 3RD AVE, SUITE 225, LAKE CHARLES, LA 70601-8994
(337) 478-2573
(337) 478-5296
Mailing address
2770 3RD AVE, SUITE 225, LAKE CHARLES, LA 70601-8994
(337) 478-2573
(337) 478-5296
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1444634
—
LA
Enumeration date
05/20/2006
Last updated
08/22/2020
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