person
Bradley Lane Jimerson, DPM
Foot & Ankle Surgery Podiatrist in Lake Charles, Louisiana
NPI 1013579150

Bradley Lane Jimerson is a Foot & Ankle Surgery Podiatrist based in Lake Charles, LA and is specialized in Foot & Ankle Surgery. Bradley Lane Jimerson practices in Lake Charles, LA and has the professional credentials of DPM. The NPI Number for Bradley Lane Jimerson is 1013579150 and holds a License No. PO9593 (Louisiana).

The current practice location address for Bradley Lane Jimerson is 1747 Imperial Blvd, Lake Charles, LA and can be reached out via phone at 337-721-7236 and via fax at 337-721-7237.

Location: 1747 Imperial Blvd, Lake Charles, LA, 70605-5362
person
Provider Profile Details
NPI Number
1013579150
Provider Name
Bradley Lane Jimerson
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
1747 Imperial Blvd, Lake Charles, LA, 70605-5362
Phone Number
337-721-7236
Fax Number
337-721-7237
Provider Enumeration Date
06/28/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1747 Imperial Blvd
City
State
Zip
70605-5362
Phone Number
337-721-7236
Fax Number
337-721-7237
person
Provider Business Mailing Address Details
Address
1747 Imperial Blvd
City
State
Zip
70605-5362
Phone Number
337-721-7236
Fax Number
337-721-7237
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
322786 (Louisiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
PO9593 (Louisiana)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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