Organization
ST. LUKE'S DIAGNOSTIC CLINIC OF LAKE CHARLES, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN P BARRILLEAUX M.D. (OWNER)
(337) 439-2000
Entity
Organization
Contact information
Practice address
643 S RYAN ST, LAKE CHARLES, LA 70601-5726
(337) 439-2000
(337) 439-2025
Mailing address
643 S RYAN ST, LAKE CHARLES, LA 70601-5726
(337) 439-2000
(337) 439-2025
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
017896
LA
Other
Enumeration date
07/28/2006
Last updated
08/22/2020
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