Organization
LAKE CHARLES MEDICAL SERVICES, INC
Active
Parent organization
SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION
Other names
Cardiovascular-Thoracic Surgery Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION
Authorized official
DAVID B USHER (VICE PRESIDENT)
(337) 494-3200
Entity
Organization
Contact information
Practice address
1717 OAK PARK BLVD, SECOND FLOOR, LAKE CHARLES, LA 70601-8991
(337) 494-6799
(337) 430-6950
Mailing address
1717 OAK PARK BLVD, SECOND FLOOR, LAKE CHARLES, LA 70601-8991
(337) 494-6799
(337) 430-6950
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1944408
—
LA
Enumeration date
06/11/2006
Last updated
04/23/2008
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