Organization
LAKE AREA ANESTHESIA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHEAL WAYNE ELLENDER (PRESIDENT)
(337) 540-6900
Entity
Organization
Contact information
Practice address
809 GARDEN LN, LAKE CHARLES, LA 70605-3321
(337) 540-6900
Mailing address
809 GARDEN LN, LAKE CHARLES, LA 70605-3321
(337) 540-6900
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
09/05/2014
Last updated
01/29/2015
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