| Ochsner Clinic Llc | |
|
1355 Sam Houston Jones Pkwy Ste 355 Lake Charles LA 70611 | |
| (337) 513-0299 | |
| (337) 990-6484 |
| Full Name | Ochsner Clinic Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1355 Sam Houston Jones Pkwy, Lake Charles, Louisiana |
| Authorized Official Name and Position | Eduardo Benitez (DIRECTOR) |
| Authorized Official Contact | 5048426933 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ochsner Clinic Llc 1514 Jefferson Hwy New Orleans LA 70121-2429 Ph: (504) 842-4000 | Ochsner Clinic Llc 1355 Sam Houston Jones Pkwy Ste 355 Lake Charles LA 70611 Ph: (337) 513-0299 |
| NPI Number | 1417429036 |
|---|---|
| Provider Enumeration Date | 12/20/2018 |
| Last Update Date | 07/22/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417429036 | NPI | - | NPPES |
| 1798118 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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