Individual
BRENDA KAYE CELESTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1717 E PRIEN LAKE RD, LAKE CHARLES, LA 70601-0400
(337) 515-7016
Mailing address
6521 S MEADOW LARK DR, LAKE CHARLES, LA 70607-0946
(337) 515-7016
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLP.P00122-PHL
LA
Other
Enumeration date
11/07/2008
Last updated
11/07/2008
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