Individual
CODY ALAN DOUGAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1717 OAK PARK BLVD FL 2, LAKE CHARLES, LA 70601-8990
(337) 494-3278
(337) 494-6969
Mailing address
PO BOX 122152, DEPT 2152, DALLAS, TX 75312-2152
(337) 494-3278
(337) 494-6969
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP08797
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2424408
—
LA
Enumeration date
06/10/2016
Last updated
07/21/2022
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