Lakeside Medical Wellness Clinic
Lakeside Medical Wellness Clinic is a Preferred Provider Organization in Sulphur, Louisiana. Licensed in Louisiana. Registered with an NPI since 2008.
- Licensed in
- LA
- In the registry since
- 2008
Practice location Address checks out
110 E Darbonne St Ste BSulphur, LA 70663-4958
Phone: (337) 527-9529
Fax: (337) 527-5049
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Preferred Provider Organization (primary) | Taxonomy 305R00000X (LA) |
|---|
Record details
| NPI number | 1235315516 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | George Smith — Owner · (337) 527-9529 |
| NPI enumerated | January 16, 2008 |
| Last updated in NPPES | July 21, 2022 |
| Mailing address | 110 E Darbonne St Ste B, Sulphur, LA 70663-4958 |