DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: LAKE CHARLES MEDICAL SERVICES, INC

MEDICARE: LAKE CHARLES MEDICAL SERVICES, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208100000XPhysical Medicine & Rehabilitation Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2DN5736OTHERLARR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
106-00010375OTHERLAOCCUPATIONAL LICENSE
3NH6455OTHERLABCBS

General Provider Information

NPI Number : 1114011244
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAKE CHARLES MEDICAL SERVICES, INC
Provider Business Mailing Address
First Line : 1717 OAK PARK BLVD FL 3
Second Line :
City : LAKE CHARLES
State : LA
Zip : 70601-8990
Country : US
Telephone Number : 337-494-6868
Fax Number : 337-494-6869
Provider Business Practice Location Address
First Line : 1701 OAK PARK BLVD FL 2
Second Line :
City : LAKE CHARLES
State : LA
Zip : 70601-8911
Country : US
Telephone Number : 337-494-6868
Fax Number : 337-494-6869
Authorized Official
Title or Position : V. P. OF OPERATIONS
Name : MR. DAVID B USHER
Credential : FACHE
Telephone Number : 337-494-3202
Provider Enumeration Date : 10/03/2006
Last Update Date : 11/03/2008

Similar Medicare Providers

1558215061 — JORDAN BAILEY BSN, RN
Practice Location Address:
1701 OAK PARK BLVD
LAKE CHARLES, LA
70601-8911
Practice Phone: 337-494-2044
Practice Fax:
1295477834 — MISS SHELBY ROSE HENSSLER-VIGA CRNA
Practice Location Address:
1701 OAK PARK BLVD
LAKE CHARLES, LA
70601-8911
Practice Phone: 337-494-4178
Practice Fax: 337-494-6518
1245201730 — DOUGLAS KEITH LACOMBE CRNA
Practice Location Address:
1701 OAK PARK BLVD
LAKE CHARLES, LA
70601-8911
Practice Phone: 337-494-3000
Practice Fax:
1508816968 — TAMMY TATE-GOBERT ANP-C
Practice Location Address:
1701 OAK PARK BLVD
LAKE CHARLES, LA
70601-8911
Practice Phone: 337-494-2121
Practice Fax: 337-494-2360
1972549855 — SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION INC
Practice Location Address:
1701 OAK PARK BLVD
LAKE CHARLES, LA
70601-8911
Practice Phone: 337-494-3000
Practice Fax: 337-494-2947
1730197211 — KEITH A BULLER P.A.
Practice Location Address:
1701 OAK PARK BLVD
LAKE CHARLES, LA
70601-8911
Practice Phone: 337-494-3000
Practice Fax:

Directions to “LAKE CHARLES MEDICAL SERVICES, INC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.