1518359165 PEDIATRUST LAKE CHARLES, LLC
Exclusive Provider Organization
Active
Basic Information
- Organization Name
- PEDIATRUST LAKE CHARLES, LLC
- Enumeration Date
- February 19, 2015
- Last Update
- February 19, 2015
- Authorized Official
- LEANN CRAIG
OWNER
Phone: (225) 252-7633
Practice Location
- Address
- 4250 5TH AVE
LAKE CHARLES, LA 706073900 - Phone
- (337) 562-7818
Mailing Address
- Address
- 6270 SEVENOAKS AVE
BATON ROUGE, LA 708067330 - Phone
- (225) 252-7633
- Fax
- (337) 214-2061
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Exclusive Provider Organization | 302F00000X | Exclusive Provider Organization | 2203782281 | LA | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2203782281 | 05 | LA | N/A |
Frequently Asked Questions
What is PEDIATRUST LAKE CHARLES, LLC's NPI number?
PEDIATRUST LAKE CHARLES, LLC's NPI number is 1518359165.
Which doctor has NPI number 1518359165?
The doctor with NPI number 1518359165 is PEDIATRUST LAKE CHARLES, LLC.
What is PEDIATRUST LAKE CHARLES, LLC's practice address?
PEDIATRUST LAKE CHARLES, LLC's practice address is 4250 5TH AVE, LAKE CHARLES, LA, 706073900.
Which doctor practices at 4250 5TH AVE, LAKE CHARLES, LA, 706073900?
PEDIATRUST LAKE CHARLES, LLC practices at 4250 5TH AVE, LAKE CHARLES, LA, 706073900.
What is PEDIATRUST LAKE CHARLES, LLC's mailing address?
PEDIATRUST LAKE CHARLES, LLC's mailing address is 6270 SEVENOAKS AVE, BATON ROUGE, LA, 708067330.
What is PEDIATRUST LAKE CHARLES, LLC's phone number?
PEDIATRUST LAKE CHARLES, LLC's phone number is (337) 562-7818.
Who is (337) 562-7818?
(337) 562-7818 is the phone number for PEDIATRUST LAKE CHARLES, LLC.
What is PEDIATRUST LAKE CHARLES, LLC's specialty?
PEDIATRUST LAKE CHARLES, LLC's specialty is Exclusive Provider Organization.
What type of doctor is PEDIATRUST LAKE CHARLES, LLC?
PEDIATRUST LAKE CHARLES, LLC is a Exclusive Provider Organization.
Is PEDIATRUST LAKE CHARLES, LLC a Exclusive Provider Organization?
Yes, PEDIATRUST LAKE CHARLES, LLC is a Exclusive Provider Organization.
Is PEDIATRUST LAKE CHARLES, LLC still practicing?
Yes, PEDIATRUST LAKE CHARLES, LLC is currently practicing.
Is PEDIATRUST LAKE CHARLES, LLC accepting new patients?
PEDIATRUST LAKE CHARLES, LLC may be accepting new patients. Please call their office at (337) 562-7818 to inquire about availability.
Is NPI 1518359165 still active?
Yes, NPI 1518359165 is currently active.
Where does PEDIATRUST LAKE CHARLES, LLC practice?
PEDIATRUST LAKE CHARLES, LLC practices in LAKE CHARLES, LA.