OrganizationActive
Minor Medical Clinic LLC
NPI 1720008675 · Health Service Clinic/Center · Lake Charles, LA
Provider details
- NPI number
- 1720008675
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Karen Whitehead, Family Nurse Practitioner
Practice location
109 Executive Dr.
Suite C
Lake Charles, LA 70611-5328
Phone: (337) 217-0922
Fax: (337) 217-0925
Mailing address
109 Executive Dr.
Lake Charles, LA 70611-5328
Registry dates
- Enumerated
- 2006-07-20
- Last updated
- 2010-11-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.