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Lakeside Medical Wellness Clinic
Preferred Provider Organization in Sulphur, Louisiana
NPI 1235315516

Lakeside Medical Wellness Clinic is a Preferred Provider Organization based in Sulphur, LA. Lakeside Medical Wellness Clinic practices in Sulphur, LA. The NPI Number for Lakeside Medical Wellness Clinic is 1235315516 and holds a License No. (Louisiana).

The current practice location address for Lakeside Medical Wellness Clinic is 110 E Darbonne St Ste B, Sulphur, LA and can be reached out via phone at 337-527-9529 and via fax at 337-527-5049.

Location: 110 E Darbonne St Ste B, Sulphur, LA, 70663-4958
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1235315516
Provider Name
Lakeside Medical Wellness Clinic
Credential
Provider Entity Type
Organization
Address
110 E Darbonne St Ste B, Sulphur, LA, 70663-4958
Phone Number
337-527-9529
Fax Number
337-527-5049
Provider Enumeration Date
01/16/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
110 E Darbonne St Ste B
City
Sulphur
State
Louisiana
Zip
70663-4958
Phone Number
337-527-9529
Fax Number
337-527-5049
person
Provider Business Mailing Address Details
Address
110 E Darbonne St Ste B
City
Sulphur
State
Louisiana
Zip
70663-4958
Phone Number
337-527-9529
Fax Number
337-527-5049
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Preferred Provider Organization
Speciality
-
Taxonomy
305R00000X
License No.
(Louisiana)
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
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