ETERNITY HEALTH CARE CLINIC LLC NPI 1548206436

NPI Information

ETERNITY HEALTH CARE CLINIC, LLC is an adult health clinical nurse specialist in Lake Charles, LA. ETERNITY HEALTH CARE CLINIC, LLC NPI is 1548206436. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1432 FOURNET ST
LAKE CHARLES, LA
ZIP 70601-452
Phone: (337) 439-4220
Fax: (337) 439-6351

The provider's authorized official is Nona Marie Leday Bryant .
The authorized official title is Owner and has the following contact phone number (337) 439-4220.

The enumeration date for this NPI number is 6/21/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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