Individual
DR. JEFFERY ALLEN HENNIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
700 W MCNEESE ST, LAKE CHARLES, LA 70605-5567
(337) 478-8470
Mailing address
815 TOUCHEY ST, LAKE CHARLES, LA 70601
(337) 274-7938
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6269
LA
Other
Enumeration date
06/04/2012
Last updated
05/07/2015
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