| Little Toes Button Nose | |
|
247 W Sallier St Lake Charles LA 70601-5843 | |
| (337) 602-6004 | |
| (337) 602-6037 |
| Full Name | Little Toes Button Nose |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 247 W Sallier St, Lake Charles, Louisiana |
| Authorized Official Name and Position | Tanika Danielle Collins (OWNER) |
| Authorized Official Contact | 3373046247 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Little Toes Button Nose 247 W Sallier St Lake Charles LA 70601-5843 Ph: (337) 602-6004 | Little Toes Button Nose 247 W Sallier St Lake Charles LA 70601-5843 Ph: (337) 602-6004 |
| NPI Number | 1417464017 |
|---|---|
| Provider Enumeration Date | 01/04/2018 |
| Last Update Date | 01/04/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417464017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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