Organization
CALCASIEU CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL FONTENOT DC (OWNER)
(337) 794-7793
Entity
Organization
Contact information
Practice address
634 N HIGHWAY 171, LAKE CHARLES, LA 70611-5348
(337) 794-7793
Mailing address
PO BOX 12826, LAKE CHARLES, LA 70612-2826
(337) 794-7793
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
05/04/2020
Last updated
05/04/2020
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