| Clinic808 Llc | |
|
6105 W Myrtle Bay Dr Lake Charles LA 70605-3149 | |
| (337) 564-0001 | |
| Not Available |
| Full Name | Clinic808 Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 6105 W Myrtle Bay Dr, Lake Charles, Louisiana |
| Authorized Official Name and Position | Robert Dale Bernauer (OWNER) |
| Authorized Official Contact | 3375640001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinic808 Llc 6105 W Myrtle Bay Dr Lake Charles LA 70605-3149 Ph: () - | Clinic808 Llc 6105 W Myrtle Bay Dr Lake Charles LA 70605-3149 Ph: (337) 564-0001 |
| NPI Number | 1194681551 |
|---|---|
| Provider Enumeration Date | 12/30/2025 |
| Last Update Date | 12/30/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194681551 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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