Individual
ROBERT ANTHONY CONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
501 DR MICHAEL DEBAKEY DR, LAKE CHARLES, LA 70601-5724
(337) 433-8400
(337) 312-6708
Mailing address
501 DR MICHAEL DEBAKEY DR, LAKE CHARLES, LA 70601-5724
(337) 312-8360
(337) 312-6711
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN074867AP04422
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467821
—
LA
01
—
LA6100258
TRICARE
LA
Enumeration date
11/02/2005
Last updated
09/30/2011
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