Individual
MR. CHAD SCOTT SITTIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
2829 4TH AVE, SUITE 200, LAKE CHARLES, LA 70601-7887
(972) 391-4113
(337) 433-7938
Mailing address
414 HONEYSUCKLE LN, WESTLAKE, LA 70669-6364
(337) 304-6418
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
282525
LA
Other
Enumeration date
08/07/2013
Last updated
08/07/2013
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