Organization
LAKE CHARLES MEDICAL SERVICES ORTHOPEDICS ASSOCIATES LLC
Active
Parent organization
LAKE CHARLES MEDICAL SERVICES INC
Other names
Orthopaedic Specialists
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
1717 OAK PARK BLVD FL 3, LAKE CHARLES, LA 70601-8990
(337) 494-4900
(337) 494-4797
Mailing address
PO BOX 122165 DEPT 2165, DALLAS, TX 75312-2165
(337) 494-2921
(337) 494-6523
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1030538
—
LA
01
—
DG7217
RAILROAD MCR
LA
01
—
NH8002
BCBS
LA
Enumeration date
08/20/2007
Last updated
12/04/2023
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