Organization
SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION INC
Active
Other names
Lake Area Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN JOHNSON-HATCHER (CFO)
(337) 494-2094
Entity
Organization
Contact information
Practice address
2770 3RD AVE FL 2, LAKE CHARLES, LA 70601-8994
(337) 477-8252
(337) 494-4728
Mailing address
2770 3RD AVE FL 2, LAKE CHARLES, LA 70601-8994
(337) 477-8252
(337) 494-4728
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1443743
—
LA
01
—
NG2338
BCBS
LA
Enumeration date
01/17/2007
Last updated
12/04/2023
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