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Organization

M&M FAMILY CLINIC, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MELVIN MORRIS M D (VICE PRESIDENT)
(337) 439-4220
Entity
Organization

Contact information

Practice address
1432 FOURNET ST, LAKE CHARLES, LA 70601-2452
(337) 439-4220
(337) 439-6351
Mailing address
1432 FOURNET ST, LAKE CHARLES, LA 70601-2452
(337) 439-4220
(337) 439-6351

Taxonomy

Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
R050908
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1106798
LA
05
1448681
LA
Enumeration date
09/29/2006
Last updated
08/22/2020
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