PEDIATRUST LAKE CHARLES, LLC
Managed Care Organizations at 5 Ave, Lake Charles, LA

License number
Louisiana 2203782281
Category
Managed Care Organizations
Type
Exclusive Provider Organization
Owner
Name: LEANN CRAIG
Title: OWNER
Phone: (225) 252-7633
Address
Address 2
5Th Ave, Lake Charles, LA 70607
6270 Sevenoaks Ave, Baton Rouge, LA 70806
National Provider ID: 1518359165
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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