Organization · Type 2 NPI

LCMS Ear, Nose and Throat Clinic of Southwest Louisiana, LLC

Otolaryngology Physician · Lake Charles, LA

NPI number 1801184007 Active

Practice location

1890 W Gauthier Rd Ste 205
Lake Charles, LA 70605-7179

Call (337) 480-5595 Map

Fax (337) 480-5596

Mailing address

PO Box 123057 Dept 3057
Dallas, TX 75312-3057

Specialties and licenses

Taxonomy	Code	License
Otolaryngology Physician Primary	207Y00000X	None listed

Otolaryngology Physician: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injurie…

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NPI record

NPI: 1801184007
Entity type: Organization (Type 2)
Issued: Jul 21, 2011
Last updated: Dec 4, 2023
Status: Active
Subpart: Yes of Lake Charles Medical Services, Inc

Other names

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Southwest Louisiana Ent · doing business as
Southwest Louisiana Ent · doing business as

Authorized official

Charles Whitson
CFO
(337) 494-3204

Verify this record

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 1801184007

LCMS Ear, Nose and Throat Clinic of Southwest Louisiana, LLC's National Provider Identifier is 1801184007, issued on Jul 21, 2011. The primary taxonomy on file is Otolaryngology Physician (207Y00000X), and the practice location is in Lake Charles, LA. The record was last updated on Dec 4, 2023.