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Dr. Jason P Hagen, MD
Primary Care Clinic/Center in Lake Charles, Louisiana
NPI 1093008401

Jason P Hagen is a Primary Care Clinic/Center based in Dallas, LA and is specialized in Primary Care. Jason P Hagen practices in Lake Charles, LA and has the professional credentials of MD. The NPI Number for Jason P Hagen is 1093008401 and holds a License No. MD205679 (Louisiana).

The current practice location address for Jason P Hagen is 1000 Walters St, Lake Charles, LA and can be reached out via phone at 337-480-8066 and via fax at 337-480-8061.

Location: 1000 Walters St, Lake Charles, LA, 75312-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093008401
Provider Name
Jason P Hagen
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1000 Walters St, Lake Charles, LA, 75312-0001
Phone Number
337-480-8066
Fax Number
337-480-8061
Provider Enumeration Date
05/17/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2150383 05 LA
MD.205679 01 LA STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
1000 Walters St
City
Lake Charles
State
Louisiana
Zip
70607-4647
Phone Number
337-480-8066
Fax Number
337-480-8061
person
Provider Business Mailing Address Details
Address
1000 Walters St
City
Lake Charles
State
Louisiana
Zip
70607-4647
Phone Number
337-480-8066
Fax Number
337-480-8061
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
205679 (Louisiana)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
MD205679 (Louisiana)
Definition
Definition to come...
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