| Mdl Med Corp LLC | |
|
2415 Stoneybrook Lake Charles LA 70605-4036 | |
| (337) 474-9197 | |
| Not Available |
| Full Name | Mdl Med Corp LLC |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 2415 Stoneybrook, Lake Charles, Louisiana |
| Authorized Official Name and Position | Mark D Lafuria (OWNER) |
| Authorized Official Contact | 3374749197 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mdl Med Corp LLC 2415 Stoneybrook Lake Charles LA 70605-4036 Ph: (337) 474-9197 | Mdl Med Corp LLC 2415 Stoneybrook Lake Charles LA 70605-4036 Ph: (337) 474-9197 |
| NPI Number | 1881834406 |
|---|---|
| Provider Enumeration Date | 02/22/2009 |
| Last Update Date | 02/22/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881834406 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | MD.200687 (Louisiana) | Primary |
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