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Individual

LYNN EDWARD FORET

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
640 DR. MICHAEL DEBAKEY DRIVE, LAKE CHARLES, LA 70601-0000
(337) 562-1000
(337) 439-8829
Mailing address
640 DR. MICHAEL DEBAKEY DRIVE, LAKE CHARLES, LA 70601-0000
(337) 562-1000
(337) 439-8829

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
013222
LA
174400000X
Specialist
Primary
MD.013222
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1320358
LA
Enumeration date
01/20/2006
Last updated
12/06/2010
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