Organization
MDL MED CORP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK D LAFURIA M.D. (OWNER)
(337) 474-9197
Entity
Organization
Contact information
Practice address
2415 STONEYBROOK, LAKE CHARLES, LA 70605-4036
(337) 474-9197
Mailing address
2415 STONEYBROOK, LAKE CHARLES, LA 70605-4036
(337) 474-9197
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MD.200687
LA
Other
Enumeration date
02/22/2009
Last updated
02/22/2009
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