Organization
MINOR MEDICAL CLINIC LLC
Active
Organization
MINOR MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN MARIE WHITEHEAD ARPN (FAMILY NURSE PRACTITIONER)
(337) 217-0922
Entity
Organization
Contact information
Practice address
109 EXECUTIVE DR., SUITE C, LAKE CHARLES, LA 70611-5328
(337) 217-0922
(337) 217-0925
Mailing address
109 EXECUTIVE DR., SUITE C, LAKE CHARLES, LA 70611-5328
(337) 217-0922
(337) 217-0925
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
LA
Other
Enumeration date
07/20/2006
Last updated
11/05/2010
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