institution
Jennette Bergstedt Md Llc
Medical Specialty Clinic/Center in Lake Charles, Louisiana
NPI 1427174549

Jennette Bergstedt Md Llc is a Medical Specialty Clinic/Center based in Lake Charles, LA and is specialized in Medical Specialty. Jennette Bergstedt Md Llc practices in Lake Charles, LA. The NPI Number for Jennette Bergstedt Md Llc is 1427174549 and holds a License No. MD.021307 (Louisiana).

The current practice location address for Jennette Bergstedt Md Llc is 4150 Nelson Rd Ste E1, Lake Charles, LA and can be reached out via phone at 337-474-2933 and via fax at 337-474-5283.

Location: 4150 Nelson Rd Ste E1, Lake Charles, LA, 70605-4133
institution
Provider Profile Details
NPI Number
1427174549
Provider Name
Jennette Bergstedt Md Llc
Credential
Provider Entity Type
Organization
Address
4150 Nelson Rd Ste E1, Lake Charles, LA, 70605-4133
Phone Number
337-474-2933
Fax Number
337-474-5283
Provider Enumeration Date
03/21/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1655724 05 LA
institution
Provider Business Practice Location Address Details
Address
4150 Nelson Rd Ste E1
City
State
Zip
70605-4133
Phone Number
337-474-2933
Fax Number
337-474-5283
person
Provider Business Mailing Address Details
Address
4150 Nelson Rd Ste E1
City
State
Zip
70605-4133
Phone Number
337-474-2933
Fax Number
337-474-5283
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
License No.
MD.021307 (Louisiana)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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