Individual
DR. CRAIG G MORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1747 IMPERIAL BLVD, LAKE CHARLES, LA 70605-5362
(337) 721-7236
(337) 721-7295
Mailing address
501 DR MICHAEL DEBAKEY DR, LAKE CHARLES, LAKE CHARLES, LA 70601-5724
(337) 312-8258
(337) 312-6711
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
200691
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1059609
—
LA
01
—
4K557D847
MEDICARE LEGACY NUMBER
LA
01
—
P00459654
RAILROAD MEDICARE INDIVIDUAL
LA
Enumeration date
02/19/2007
Last updated
01/30/2017
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