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Organization

STONEBRIDGE HEALTH SYSTEMS, LLC

Active
Parent organization
STONEBRIDGE HEALTH SYSTEMS, LLC
Other names
Stonebridge Medical Group
Organization subpart
Yes

Provider details

NPI number
Legal business name
STONEBRIDGE HEALTH SYSTEMS, LLC
Authorized official
MRS. LESLIE ANN TRAHAN (MEMBER/MANAGER)
(337) 439-8111
Entity
Organization

Contact information

Practice address
2837 ERNEST ST STE A, LAKE CHARLES, LA 70601-8785
(337) 439-8111
(337) 439-1970
Mailing address
2837 ERNEST ST STE A, LAKE CHARLES, LA 70601-8785
(337) 439-8111

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
2084P0800X
Psychiatry Physician
Primary
2084P0805X
Geriatric Psychiatry Physician
363A00000X
Physician Assistant
363LA2200X
Adult Health Nurse Practitioner
363LF0000X
Family Nurse Practitioner
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Enumeration date
03/08/2023
Last updated
03/08/2023
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