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Organization

FOUNDATIONS PEDIATRIC CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JESSICA PARDO (OWNER/PARTNER)
(337) 304-9391
Entity
Organization

Contact information

Practice address
4300 LAKE ST, LAKE CHARLES, LA 70605
(337) 304-9391
Mailing address
4330 LAKE ST, LAKE CHARLES, LA 70605-4310
(337) 429-5083

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
03/15/2024
Last updated
08/16/2024
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