Organization
DERMATOLOGY ASSOCIATES OF SWLA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA S CONNER (ADMINISTRATOR)
(337) 310-2380
Entity
Organization
Contact information
Practice address
2000 TYBEE ST, LAKE CHARLES, LA 70605-4171
(337) 433-7272
(337) 433-0730
Mailing address
2000 TYBEE ST, LAKE CHARLES, LA 70605-4171
(337) 433-7272
(337) 433-0730
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
01/11/2006
Last updated
09/12/2023
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