Minor Medical Clinic Llc in Lake Charles - Health Service
Minor Medical Clinic Llc - NPI 1720008675
Minor Medical Clinic Llc is a Health Service in Lake Charles, Louisiana. Minor Medical Clinic Llc practices all healthcare services and medical treatments related to Health Service. The NPI Number for Minor Medical Clinic Llc is 1720008675. The last update date is 2010-11-05.
Minor Medical Clinic Llc's current location address is 109 Executive Dr., Lake Charles, Louisiana. You can contact this provider via phone number 3372170922 and fax number 3372170925. The mailing address for Minor Medical Clinic Llc is 109 Executive Dr., Lake Charles, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Minor Medical Clinic Llc |
|---|---|
| Address | 109 Executive Dr., Lake Charles, Louisiana |
| Phone Number | 3372170922 |
| Fax Number | 3372170925 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | FAMILY NUR |
|---|---|
| Authorized Official Name | Whitehead Marie Karen |
| Credentials | ARPN |
| Telephone Number | 3372170922 |
NPI Number Detail
| NPI Number | 1720008675 |
|---|---|
| Provider Enumeration Date | 2006-07-20 |
| Last Updated Date | 2010-11-05 |
Provider Mailing Address Detail
| Address | 109 Executive Dr. |
|---|---|
| City | Lake Charles |
| State | Louisiana (LA) |
| Post Code | 706115328 |
| Phone Number | 3372170922 |
| Fax Number | 3372170925 |
Provider's Primary Taxonomy Detail
| Speciality | Health Service |
|---|---|
| Taxonomy | 261Qh0100X |
|
Definition: Provides general outpatient medical care by physicians and other providers. |
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Post Comment/ Review Below
What is the Minor Medical Clinic Llc's unique identification number?
The Minor Medical Clinic Llc has been assigned the NPI (National Provider Identifier) Number 1720008675 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Minor Medical Clinic Llc's physical address?
The Minor Medical Clinic Llc is physically located at 109 Executive Dr., in the city of Lake Charles, LA, with the postal code 706115328.
What is Minor Medical Clinic Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Minor Medical Clinic Llc is Health Service, and the corresponding taxonomy classification code for this specialized field is 261Qh0100X.
On what date did the Centers for Medicare & Medicaid Services assign the 1720008675 to Minor Medical Clinic Llc?
The Centers for Medicare & Medicaid Services assigned the 1720008675 to Minor Medical Clinic Llc on 2006-07-20.
When was the information regarding Minor Medical Clinic Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Minor Medical Clinic Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2010-11-05.