Provider First Line Business Practice Location Address:
524 MICHAEL DEBAKEY DRIVE
Provider Second Line Business Practice Location Address:
EMERGENCY DEPARTMENT
Provider Business Practice Location Address City Name:
LAKE CHARLES
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70601-5725
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
337-436-2511
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/03/2009