| Thornell Mitchell | |
|
2121 Lake St Lake Charles LA 70601-7103 | |
| (337) 433-1919 | |
| (337) 433-1928 |
| Full Name | Thornell Mitchell |
|---|---|
| Speciality | Clinic/center |
| Location | 2121 Lake St, Lake Charles, Louisiana |
| Authorized Official Name and Position | Gloria D Kennison (OFFICE MANAGER) |
| Authorized Official Contact | 3374331919 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thornell Mitchell 2121 Lake St Lake Charles LA 70601-7103 Ph: (337) 433-1919 | Thornell Mitchell 2121 Lake St Lake Charles LA 70601-7103 Ph: (337) 433-1919 |
| NPI Number | 1770818759 |
|---|---|
| Provider Enumeration Date | 10/09/2009 |
| Last Update Date | 10/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770818759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 1137 (Louisiana) | Primary |
Iowa Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1717 Oak Park Blvd, Lake Charles, LA 70601 Phone: 337-582-7632 Fax: 337-582-7656 |
Family Medical Center. Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2750 Aster St, Lake Charles, LA 70601 Phone: 337-478-2650 Fax: 337-478-8183 |
Washington-marion Sbhc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2802 Pineview St, Lake Charles, LA 70615 Phone: 337-217-4540 Fax: 337-439-5029 |
Headache and Wellness Center of Southwest Louisiana, LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 803 W Bayou Pines Dr Ste B, Lake Charles, LA 70601 Phone: 337-508-2333 |
Imperial Health, LLP Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 501 Dr Michael Debakey Dr, Lake Charles, LA 70601 Phone: 337-433-8400 Fax: 337-312-6708 |
Kndl Partners Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4200 Nelson Rd, Lake Charles, LA 70605 Phone: 337-475-4748 Fax: 337-944-4421 |