Organization
FAMILY RESPIRATORY SERVICES 2, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE G FAWCETT RCP (OWNER)
(337) 905-0440
Entity
Organization
Contact information
Practice address
2896 N HIGHWAY 171 STE C, LAKE CHARLES, LA 70611-4350
(337) 905-0440
(337) 905-0442
Mailing address
2896 N HIGHWAY 171, SUITE C, LAKE CHARLES, LA 70611-4350
(337) 905-0440
(337) 905-0442
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467375
—
LA
01
—
G9724
BCBSL
LA
Enumeration date
11/18/2005
Last updated
07/21/2022
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