Organization
LAKE AREA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARILYN JANE SULLINS R. D. (REGISTERED DIETITIAN)
(337) 475-4724
Entity
Organization
Contact information
Practice address
4200 NELSON RD, LAKE CHARLES, LA 70605
(337) 474-6370
Mailing address
4200 NELSON RD, LAKE CHARLES, LA 70605-4118
(337) 474-6370
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
133V00000X
LA
Other
Enumeration date
08/05/2015
Last updated
08/05/2015
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