OrganizationActive
Ent and Allergy Clinic LLC
NPI 1972147387 · Otolaryngology Physician · Lake Charles, LA
Provider details
- NPI number
- 1972147387
- Entity type
- Organization
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Brad Lebert, Owner/Physician
Practice location
1615 Wolf Cir
Lake Charles, LA 70605-2348
Phone: (337) 312-8681
Fax: (337) 312-8682
Mailing address
1615 Wolf Cir
Lake Charles, LA 70605-2348
Registry dates
- Enumerated
- 2019-10-30
- Last updated
- 2019-10-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.