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Individual

REBECCA ELLEN GODARE STEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
600 DR MICHAEL DEBAKEY DR, LAKE CHARLES, LA 70601-5727
(337) 436-3813
(337) 439-0214
Mailing address
501 DR MICHAEL DEBAKEY DR, LAKE CHARLES, LA 70601-5724
(337) 312-8258
(337) 312-6708

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN059031 AP06292
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2141422
LA
Enumeration date
12/09/2010
Last updated
03/21/2017
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