Organization
ALEXANDRIA VAMC
Active
Other names
LAKE CHARLES VA CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN POTTER (NPI TEAM MEMBER)
(202) 382-2579
Entity
Organization
Contact information
Practice address
3601 GERSTNER MEMORIAL DRIVE, HWY 14, LAKE CHARLES, LA 70607-9998
(615) 355-3451
Mailing address
PO BOX 94491, CLEVELAND, OH 44101
(615) 355-3451
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
—
—
Other
Enumeration date
02/08/2016
Last updated
10/26/2017
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