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PEDIATRUST LAKE CHARLES, LLC

Exclusive Provider Organization

NPI: 1518359165Organization

Specialties, Licenses & Credentials

Exclusive Provider OrganizationPrimary

Exclusive Provider Organization

Code: 302F00000X

2203782281(LA)

Contact & Hours

Address
4250 5TH AVE
LAKE CHARLES, LA 70607

Quick Facts

NPI
1518359165
Entity Type
Organization
Medicare
Not confirmed
Specialties
1
Locations
1

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