Individual
MELVIN JOSEPH MARQUE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1905 COUNTRY CLUB RD, LAKE CHARLES, LA 70605-5203
(337) 990-8000
Mailing address
1905 COUNTRY CLUB RD, LAKE CHARLES, LA 70605-5203
(337) 990-8000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
024321
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1109975
—
LA
01
—
P00980762
MCARE RR
LA
Enumeration date
08/18/2005
Last updated
11/26/2025
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