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NPI Code Detail

MEDICARE: SLEEP DISORDER CENTER OF LOUISIANA, LLC

MEDICARE: SLEEP DISORDER CENTER OF LOUISIANA, LLC
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
1261QS1200XSleep Disorder Diagnostic Clinic/Center2342LA

General Provider Information

NPI Number : 1295878346
Entity Type Code : Organization
Provider Name (Legal Business Name) : SLEEP DISORDER CENTER OF LOUISIANA, LLC
Provider Business Mailing Address
First Line : PO BOX 4591
Second Line :
City : LAKE CHARLES
State : LA
Zip : 70606-4591
Country : US
Telephone Number : 337-436-7560
Fax Number : 337-433-9861
Provider Business Practice Location Address
First Line : 4820 LAKE ST
Second Line :
City : LAKE CHARLES
State : LA
Zip : 70605-6010
Country : US
Telephone Number : 337-310-7378
Fax Number : 337-310-7382
Authorized Official
Title or Position : CCO
Name : SHEILA ROBERSON
Credential :
Telephone Number : 443-707-2228
Provider Enumeration Date : 02/15/2007
Last Update Date : 06/04/2025

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Directions to “SLEEP DISORDER CENTER OF LOUISIANA, LLC ” Practice Location

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