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Dr. Lucien Kennedy Moss JR., MD
Specialist in Lake Charles, Louisiana
NPI 1255441382

Lucien Kennedy Moss JR. is a Specialist based in Lake Charles, LA. Lucien Kennedy Moss JR. practices in Lake Charles, LA and has the professional credentials of MD. The NPI Number for Lucien Kennedy Moss JR. is 1255441382 and holds a License No. 015821 (Louisiana).

The current practice location address for Lucien Kennedy Moss JR. is 2770 3Rd Ave, Lake Charles, LA and can be reached out via phone at 337-494-4868 and via fax at 337-494-4870.

Location: 2770 3Rd Ave, Lake Charles, LA, 70601-8994
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255441382
Provider Name
Lucien Kennedy Moss JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2770 3Rd Ave, Lake Charles, LA, 70601-8994
Phone Number
337-494-4868
Fax Number
337-494-4870
Provider Enumeration Date
08/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1341280 05 LA
50046C963 01 LA MEDICARE LEGACY
institution
Provider Business Practice Location Address Details
Address
2770 3Rd Ave
City
Lake Charles
State
Louisiana
Zip
70601
Phone Number
337-494-4868
Fax Number
337-494-4870
person
Provider Business Mailing Address Details
Address
2770 3Rd Ave
City
Lake Charles
State
Louisiana
Zip
70601
Phone Number
337-494-4868
Fax Number
337-494-4870
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
015821 (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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