Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Coastal Pain Care Lake Charles, LLC

Organization Pain Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1881641405

Coastal Pain Care Lake Charles, LLC is a Pain Medicine (Physical Medicine & Rehabilitation) Physician in Lake Charles, Louisiana. Licensed in Louisiana. Registered with an NPI since 2006.

Licensed in
LA
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

215 W Prien Lake Rd
Lake Charles, LA 70601-8450
Phone: (337) 477-9019
Fax: (337) 478-1290
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081P2900X · Licence 016824 (LA)

Record details

NPI number1881641405
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kristi Widcamp — Manager · (337) 477-9019
NPI enumeratedMay 28, 2006
Last updated in NPPESApril 25, 2013
Mailing addressPo Box 4840, Lake Charles, LA 70606-4840