NEW HAVEN FAMILY MEDICINE is a clinic center in Lake Charles, LA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). NEW HAVEN FAMILY MEDICINE NPI is 1174773881. The provider is registered as an organization entity type.
The provider's business location address is:
333 S RYAN ST
SUITE 120
LAKE CHARLES, LA
ZIP 70601-821
Phone: (337) 493-8480
The provider's authorized official is Anthony Kehinde Adeosun .
The authorized official title is Owner and has the following contact phone number (337) 493-8480.
The CLIA number assigned to this NPI record is 19D2076194 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 9/30/2008 and was last updated on 9/30/2008.