Organization
DIABETES EDUCATION OF LAKE CHARLES MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN JOHNSON (CFO)
(337) 494-2094
Entity
Organization
Contact information
Practice address
1801 OAK PARK BLVD, LAKE CHARLES, LA 70601-8900
(337) 494-6425
Mailing address
1801 OAK PARK BLVD, LAKE CHARLES, LA 70601-8900
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
2210
LA
Other
Enumeration date
12/10/2009
Last updated
12/04/2023
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