| Organization Name: | CARDIAC CATH LAB OF LAKE CHARLES, LP |
| NPI Number: | 1033565320 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ERIC P FOURNET (CFO) |
| Mailing Address: | 401 Michael Debakey Dr. Suite 300 Lake Charles |
| State: | LA US |
| Postal Code: | 70601 |
| Phone Number: | 7138127586 |
| Fax Number: | |
| NPI Enumeration Date: | 05/05/2016 |
| NPI Last Update Date: | 05/05/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RC0001X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Clinical Cardiac Electrophysiology |
| Taxonomy Definition: | A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |