Organization
LCMS OBSTETRICS AND GYNECOLOGY LLC
Active
Parent organization
LAKE CHARLES MEDICAL SERVICES, INC
Other names
OBSTETRICS AND GYNECOLOGY OF SWLA
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
1890 W GAUTHIER RD, SUITE 135, LAKE CHARLES, LA 70605-7179
(337) 480-5510
(337) 480-5511
Mailing address
PO BOX 122585 DEPT 2585, DALLAS, TX 75312-2585
(337) 494-2921
(337) 494-6523
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2136291
—
LA
Enumeration date
07/14/2010
Last updated
12/04/2023
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