LAKE WELLNESS CENTER LLC NPI 1528525268

NPI Information

LAKE WELLNESS CENTER, LLC is a rehabilitation and substance use disorder clinic center in Lafayette, LA. LAKE WELLNESS CENTER, LLC NPI is 1528525268. The provider is registered as an organization entity type.

The provider's business location address is:

4540 AMBASSADOR CAFFERY PKWY STE C110
LAFAYETTE, LA
ZIP 70508-937
Phone: (337) 346-5253
Fax: (337) 703-0707

The provider's authorized official is George Roussel .
The authorized official title is Owner and has the following contact phone number (337) 703-0880.

The enumeration date for this NPI number is 3/1/2019 and was last updated on 3/1/2019.

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:

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