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Individual

SUSAN WEBB BOYD

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
555 S RYAN ST, #103, LAKE CHARLES, LA 70601-5724
(337) 439-0555
(337) 436-6223
Mailing address
555 S RYAN ST, #103, LAKE CHARLES, LA 70601-5724
(337) 439-0555
(337) 436-6223

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
L019179
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1388955
LA
Enumeration date
11/10/2005
Last updated
07/08/2007
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