Organization
LCMS EAR, NOSE AND THROAT CLINIC OF SOUTHWEST LOUISIANA, LLC
Active
Parent organization
LAKE CHARLES MEDICAL SERVICES, INC
Other names
Southwest Louisiana ENT
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAKE CHARLES MEDICAL SERVICES, INC
Authorized official
CHARLES WHITSON (CFO)
(337) 494-3204
Entity
Organization
Contact information
Practice address
1890 W GAUTHIER RD STE 205, LAKE CHARLES, LA 70605-7179
(337) 480-5595
(337) 480-5596
Mailing address
PO BOX 123057 DEPT 3057, DALLAS, TX 75312-3057
(337) 480-5595
(337) 480-5596
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2316664
—
LA
Enumeration date
07/21/2011
Last updated
12/04/2023
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