Individual
RALPH W COLPITTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
215 W PRIEN LAKE RD, LAKE CHARLES, LA 70601-8450
(337) 502-8706
(377) 210-1271
Mailing address
215 W PRIEN LAKE RD, LAKE CHARLES, LA 70601-8450
(337) 502-8706
(377) 210-1271
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
05703R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1330663
—
LA
Enumeration date
01/26/2006
Last updated
10/25/2022
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