Organization
EXECUTIVE MEDICAL CLINIC OF LAKE CHARLES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA LEBRUN DNP (PRESIDENT)
(225) 939-0050
Entity
Organization
Contact information
Practice address
765 EAST BAYOU PINES DRIVE, LAKE CHARLES, LA 70601-5690
(337) 210-1260
Mailing address
765 EAST BAYOU PINES DRIVE, LAKE CHARLES, LA 70601-5690
(337) 210-1260
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AP06496
LA
Other
Enumeration date
07/14/2017
Last updated
09/19/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us