Organization · Type 2 NPI

Lake Charles Memorial Heart and Vascular Center

Cardiovascular Disease Physician · Lake Charles, LA

NPI number 1407808405 Active

Practice location

1717 Oak Park Blvd Fl 2
Lake Charles, LA 70601-8990

Call (337) 494-3278 Map

Fax (337) 494-3240

Mailing address

PO Box 122152, Dept 2152 Dept 2152
Dallas, TX 75312-2152

Other practice locations

913 E Kent Dr, Sulphur, LA 70663-5007 · (337) 494-3278
109 W 4th St, Deridder, LA 70634-4849 · (337) 494-3278
1322 Elton Rd Ste E, Jennings, LA 70546-4100 · (337) 494-3278
122 W 4th St, Dequincy, LA 70633-3508 · (337) 494-3278

Specialties and licenses

Taxonomy	Code	License
Cardiovascular Disease Physician Primary	207RC0000X	None listed
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	208G00000X	None listed

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

16 other providers at this address

Other cardiovascular disease physician providers in Lake Charles

See all in Lake Charles →

NPI record

NPI: 1407808405
Entity type: Organization (Type 2)
Issued: May 17, 2006
Last updated: Mar 25, 2025
Status: Active
Subpart: Yes of Southwest Louisiana Health Care System, Inc

Other names

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Heart & Vascular Center · doing business as

Authorized official

Dawn Johnson-Hatcher
CFO
(337) 494-2094

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1407808405

Lake Charles Memorial Heart and Vascular Center's National Provider Identifier is 1407808405, issued on May 17, 2006. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Lake Charles, LA. The record was last updated on Mar 25, 2025.