| Geriatric Resources, Inc | |
|
6464 Corbina Rd Lake Charles LA 70607-7674 | |
| (337) 562-6774 | |
| (337) 375-0021 |
| Full Name | Geriatric Resources, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 6464 Corbina Rd, Lake Charles, Louisiana |
| Authorized Official Name and Position | Maureen Adrian Poe (OWNER-PROVIDER) |
| Authorized Official Contact | 3375266774 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Geriatric Resources, Inc 6464 Corbina Rd Lake Charles LA 70607-7674 Ph: (337) 562-6774 | Geriatric Resources, Inc 6464 Corbina Rd Lake Charles LA 70607-7674 Ph: (337) 562-6774 |
| NPI Number | 1700052958 |
|---|---|
| Provider Enumeration Date | 05/07/2008 |
| Last Update Date | 12/18/2024 |
| Medicare PECOS PAC ID | 4880624048 |
|---|---|
| Medicare Enrollment ID | O20050817000357 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700052958 | NPI | - | NPPES |
| Provider Name | Maureen A Poe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992700272 PECOS PAC ID: 9931139193 Enrollment ID: I20050818000068 |
| Provider Name | Deanna Fredericks Harless |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407852288 PECOS PAC ID: 6002906807 Enrollment ID: I20101021000443 |
| Provider Name | Danella Taylor-sonnier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346577855 PECOS PAC ID: 3577005446 Enrollment ID: I20240606002265 |
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