Individual
JUSTIN WILLIAM RUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 DR MICHAEL DEBAKEY DR, LAKE CHARLES, LA 70601
(337) 312-8762
(337) 312-8044
Mailing address
501 DR MICHAEL DEBAKEY DR, LAKE CHARLES, LA 70601-5724
(337) 312-8762
(337) 312-8044
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
309562
LA
Other
Enumeration date
04/09/2012
Last updated
07/17/2018
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