Individual
DR. JONATHON MICHAEL NAGEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, MAT
Contact information
Practice address
3821 PLACID LN, LAKE CHARLES, LA 70605-6773
(337) 540-4144
(337) 205-5971
Mailing address
3821 PLACID LN, LAKE CHARLES, LA 70605-6773
(337) 540-4144
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
000793
LA
Other
Enumeration date
05/08/2013
Last updated
05/08/2023
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