| Advanced Medical & Diagnostic Center | |
|
1528 E. Prien Lake Rd., Ste. B Lake Charles LA 70601 | |
| (337) 479-2057 | |
| (337) 479-2099 |
| Full Name | Advanced Medical & Diagnostic Center |
|---|---|
| Speciality | Chiropractor |
| Location | 1528 E. Prien Lake Rd.,, Lake Charles, Louisiana |
| Authorized Official Name and Position | Ted F Barnowski (CHIROPRACTOR) |
| Authorized Official Contact | 3374792057 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Medical & Diagnostic Center 1528 E. Prien Lake Rd., Ste. B Lake Charles LA 70601 Ph: (337) 479-2057 | Advanced Medical & Diagnostic Center 1528 E. Prien Lake Rd., Ste. B Lake Charles LA 70601 Ph: (337) 479-2057 |
| NPI Number | 1770532749 |
|---|---|
| Provider Enumeration Date | 05/08/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770532749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
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