Organization
LCMS NEUROSURGICAL INSTITUTE OF LAKE CHARLES LLC
Active
Parent organization
LAKE CHARLES MEDICAL SERVICES,INC
Other names
NEUROSURGERY INSTITUTE OF LAKE CHARLES
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAKE CHARLES MEDICAL SERVICES,INC
Authorized official
DAWN JOHNSON-HATCHER (CFO)
(337) 494-2094
Entity
Organization
Contact information
Practice address
2770 3RD AVE STE 110, LAKE CHARLES, LA 70601-0404
(337) 494-4747
(337) 494-4773
Mailing address
PO BOX 122425 DEPT 2425, DALLAS, TX 75312-2425
(337) 494-2921
(337) 494-6523
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013439
—
LA
Enumeration date
05/19/2009
Last updated
12/04/2023
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