Pediatrust Lake Charles, LLC
Pediatrust Lake Charles, LLC is an Exclusive Provider Organization in Lake Charles, Louisiana. Licensed in Louisiana. Registered with an NPI since 2015.
- Licensed in
- LA
- In the registry since
- 2015
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4250 5th AveLake Charles, LA 70607-3900
Phone: (337) 562-7818
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Exclusive Provider Organization (primary) | Taxonomy 302F00000X · Licence 2203782281 (LA) |
|---|
Record details
| NPI number | 1518359165 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Leann Craig — Owner · (225) 252-7633 |
| NPI enumerated | February 19, 2015 |
| Last updated in NPPES | February 19, 2015 |
| Mailing address | 6270 Sevenoaks Ave, Baton Rouge, LA 70806-7330 |
Other providers in Lake Charles
-
Divinitycares, Incorporation
1202 Common St, Lake Charles, LA 70601-5254 · (337) 990-0122