Organization · Type 2 NPI

St. Luke's Diagnostic Clinic of Lake Charles, L.l.c.

Medical Specialty Clinic/Center · Lake Charles, LA

NPI number 1699789529 Active

Practice location

643 S Ryan St
Lake Charles, LA 70601-5726

Fax (337) 439-2025

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500X017896 (LA)

Medical Specialty Clinic/Center: 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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About NPI 1699789529

St. Luke's Diagnostic Clinic of Lake Charles, L.l.c.'s National Provider Identifier is 1699789529, issued on Jul 28, 2006. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Lake Charles, LA. The record was last updated on Aug 22, 2020.