Organization
CHRISTUS HEALTH SWLA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERONICA DOUCETT (OFFICE MANAGER)
(337) 478-9653
Entity
Organization
Contact information
Practice address
1614 WOLF CIR, LAKE CHARLES, LA 70605-2348
(337) 478-9653
Mailing address
1614 WOLF CIR, LAKE CHARLES, LA 70605-2348
(337) 478-9653
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP08587
LA
Other
Enumeration date
03/31/2016
Last updated
03/31/2016
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