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NPI 1861766321

OrganizationActive

Clark a Gunderson MD Amc

NPI 1861766321 · Clinic/Center · Lake Charles, LA

Provider details

NPI number: 1861766321
Entity type: Organization
Primary specialty: Clinic/CenterAmbulatory Health Care Facilities
Authorized official: Clark Gunderson, President
License: 0124589 (LA)

Practice location

2615 Enterprise Blvd

Lake Charles, LA 70601-7686

Phone: (337) 439-0385

Fax: (337) 433-5448

More LA providers

Mailing address

2615 Enterprise Blvd

Lake Charles, LA 70601-7686

Registry dates

Enumerated: 2012-03-01
Last updated: 2012-03-01

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Clark a Gunderson MD Amc — NPI 1861766321, Lake Charles, LA | NPI Central