Lakeside Medical Wellness Clinic
Lakeside Medical Wellness Clinic is a Clinic/Center in Sulphur, Louisiana. Licensed in Louisiana. Registered with an NPI since 2011.
- Licensed in
- LA
- In the registry since
- 2011
Practice location Address checks out
1908 Maplewood Dr Ste BSulphur, LA 70663-6000
Phone: (337) 625-5050
Fax: (337) 625-6726
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X · Licence MD14484R (LA) |
|---|
Record details
| NPI number | 1407147234 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Stacy Kirkum — Administrator · (337) 625-5050 |
| NPI enumerated | April 27, 2011 |
| Last updated in NPPES | April 27, 2011 |
| Mailing address | 1908 Maplewood Dr, Suite B, Sulphur, LA 70663-6000 |