# HOWARD STELLY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Howard Stelly LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457995482
- **Authorized official:** HOWARD MARK STELLY MD (OWNER)
- **Authorized official phone:** (337) 309-3404

## Contact information

- **Practice address:** 1920 W SALE RD STE 6, LAKE CHARLES, LA 70605-2400
- **Practice address phone:** (337) 477-6061
- **Practice address fax:** (337) 474-3576
- **Mailing address:** 4810 TAIMER ST STE 6, LAKE CHARLES, LA 70605-5967

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/02/2019
- **Last updated:** 11/02/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 191770 | — | LA |