Advanced Medical and Chiropractic

Organization Active NPI General Practice Physician · Lake Charles, LA

NPI 1023565009 · NPPES record last updated Sep 7, 2016

Key facts

NPI
1023565009
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Physician 208D00000X
License
MD.018335 (LA)
Legal business name
ADVANCED MEDICAL AND CHIROPRACTIC
Practice address
1528 E Prien Lake Rd
Ste B
Lake Charles, LA 70601-8978
Phone
(337) 479-2057
Fax
(337) 479-2099
NPI assigned
Sep 7, 2016
Organization subpart
No

Authorized official

Name
Mrs. Lauren E Dunn-Perrin
Title
Office Manager
Phone
(337) 479-2057

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor
Group: 193200000X MULTI-SPECIALTY GROUP
111N00000X 1330 LA
General Practice Physician
Group: 193200000X MULTI-SPECIALTY GROUP
208D00000X MD.018335 LA Yes

Addresses

Primary practice location

1528 E Prien Lake Rd
Ste B
Lake Charles, LA 70601-8978

Mailing address

1528 E Prien Lake Rd
Ste B
Lake Charles, LA 70601-8978
Phone (337) 479-2057

Other providers in Lake Charles, LA

All providers in Lake Charles, LA · General Practice Physician in Louisiana

Sources for this page

Verify at the official NPI Registry.