Organization
CENTER FOR ORTHOPAEDICS AND SPINE LLC
Active
Organization
CENTER FOR ORTHOPAEDICS AND SPINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WALLACE NOBLE MD (MANAGER MEMBER)
(337) 721-7236
Entity
Organization
Contact information
Practice address
4150 NELSON RD STE C11, LAKE CHARLES, LA 70605-4133
(337) 312-8617
(337) 721-2939
Mailing address
1747 IMPERIAL BLVD, LAKE CHARLES, LA 70605-5362
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
—
—
Other
Enumeration date
10/30/2020
Last updated
10/30/2020
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