Organization · Type 2 NPI
Minor Medical Clinic LLC
Health Service Clinic/Center · Lake Charles, LA
NPI number
1720008675
Active
Practice location
109 Executive Dr., Suite C
Lake Charles, LA 70611-5328
Fax (337) 217-0925
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | None listed |
Health Service Clinic/Center: Definition to come...
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About NPI 1720008675
Minor Medical Clinic LLC's National Provider Identifier is 1720008675, issued on Jul 20, 2006. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Lake Charles, LA. The record was last updated on Nov 5, 2010.