Organization
MILLENNIUM NEONATOLOGY OF LOUISIANA PLLC
Active
Parent organization
MILLENNIUM MEDICAL GROUP PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MILLENNIUM MEDICAL GROUP PLLC
Authorized official
EMILY RATTRAY (MANAGER)
(552) 229-6378
Entity
Organization
Contact information
Practice address
1900 W GAUTHIER RD, LAKE CHARLES, LA 70605-7170
(855) 222-9637
Mailing address
PO BOX 20236, BEAUMONT, TX 77720-0236
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
Other
Enumeration date
02/24/2022
Last updated
07/21/2022
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