Individual
KODY M. DAIGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
524 DR MICHAEL DEBAKEY DR, LAKE CHARLES, LA 70601-5725
(337) 310-6000
Mailing address
224 PIPERS LN, SULPHUR, LA 70665-7006
(337) 526-2175
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
226973
LA
Other
Enumeration date
08/08/2022
Last updated
08/08/2022
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