OrganizationActive
Coastal Surgery Center, LLC
NPI 1962633636 · Pain Clinic/Center · Lake Charles, LA
Provider details
- NPI number
- 1962633636
- Entity type
- Organization
- Primary specialty
- Pain Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kristi Widcamp, Manager(337) 477-9019
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
215 W Prien Lake Rd
Suite B
Lake Charles, LA 70601-8450
Phone: (337) 477-9019
Fax: (337) 478-1290
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 4838
Lake Charles, LA 70606-4838
Registry dates
- Enumerated
- 2009-07-29
- Last updated
- 2013-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.