Individual
DR. MICHAEL EDDIE CORMIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2000 TYBEE ST, LAKE CHARLES, LA 70605-4171
(337) 433-7272
(337) 433-0730
Mailing address
2000 TYBEE ST, LAKE CHARLES, LA 70605-4171
(337) 433-7272
(337) 433-0730
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
014726
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1360660
—
LA
Enumeration date
01/11/2006
Last updated
09/12/2023
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