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Stanley R Kordisch M D Amc
Specialist in Lake Charles, Louisiana
NPI 1164686689

Stanley R Kordisch M D Amc is a Specialist based in Lake Charles, LA. Stanley R Kordisch M D Amc practices in Lake Charles, LA. The NPI Number for Stanley R Kordisch M D Amc is 1164686689 and holds a License No. 03813 (Louisiana).

The current practice location address for Stanley R Kordisch M D Amc is 4150 Nelson Rd Ste C10, Lake Charles, LA and can be reached out via phone at 337-474-0653 and via fax at 337-474-0639.

Location: 4150 Nelson Rd Ste C10, Lake Charles, LA, 70605-4169
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164686689
Provider Name
Stanley R Kordisch M D Amc
Credential
Provider Entity Type
Organization
Address
4150 Nelson Rd Ste C10, Lake Charles, LA, 70605-4169
Phone Number
337-474-0653
Fax Number
337-474-0639
Provider Enumeration Date
07/14/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4150 Nelson Rd Ste C10
City
Lake Charles
State
Louisiana
Zip
70605-4169
Phone Number
337-474-0653
Fax Number
337-474-0639
person
Provider Business Mailing Address Details
Address
4150 Nelson Rd Ste C10
City
Lake Charles
State
Louisiana
Zip
70605-4169
Phone Number
337-474-0653
Fax Number
337-474-0639
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
03813 (Louisiana)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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