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Lakeside Medical Wellness Clinic
Clinic/Center in Sulphur, Louisiana
NPI 1407147234

Lakeside Medical Wellness Clinic is a Clinic/Center based in Sulphur, LA. Lakeside Medical Wellness Clinic practices in Sulphur, LA. The NPI Number for Lakeside Medical Wellness Clinic is 1407147234 and holds a License No. MD14484R (Louisiana).

The current practice location address for Lakeside Medical Wellness Clinic is 1908 Maplewood Dr, Sulphur, LA and can be reached out via phone at 337-625-5050 and via fax at 337-625-6726.

Location: 1908 Maplewood Dr, Sulphur, LA, 70663-6000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407147234
Provider Name
Lakeside Medical Wellness Clinic
Credential
Provider Entity Type
Organization
Address
1908 Maplewood Dr, Sulphur, LA, 70663-6000
Phone Number
337-625-5050
Fax Number
337-625-6726
Provider Enumeration Date
04/27/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1476269 05 LA
institution
Provider Business Practice Location Address Details
Address
1908 Maplewood Dr
City
Sulphur
State
Louisiana
Zip
70663-6000
Phone Number
337-625-5050
Fax Number
337-625-6726
person
Provider Business Mailing Address Details
Address
1908 Maplewood Dr
City
Sulphur
State
Louisiana
Zip
70663-6000
Phone Number
337-625-5050
Fax Number
337-625-6726
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
MD14484R (Louisiana)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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