PEDIATRUST LAKE CHARLES, LLC

Exclusive Provider Organization · LAKE CHARLES, LA

Organization Active NPI 1518359165

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Exclusive Provider Organization302F00000X2203782281LA

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.

PEDIATRUST LAKE CHARLES, LLC — NPI 1518359165