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Organization

C. GREGORY BOWLING, M.D., APMC

Active
Other names
Medical Laboratory of SW LA
Organization subpart
No

Provider details

NPI number
Authorized official
C. GREGORY BOWLING M.D. (PRESIDENT)
(337) 564-6726
Entity
Organization

Contact information

Practice address
2739 MAGNOLIA LN, LAKE CHARLES, LA 70605-1011
(337) 564-6726
(337) 474-8116
Mailing address
630 W PRIEN LAKE RD, SUITE B NO. 294, LAKE CHARLES, LA 70601-0700
(337) 564-6726
(337) 474-8116

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1692328
LA
Enumeration date
01/31/2007
Last updated
04/26/2015
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