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DOUGLAS KEITH LACOMBE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1701 OAK PARK BLVD, LAKE CHARLES, LA 70601-8911
(337) 494-3000
Mailing address
171 RAY MILNER RD, IOTA, LA 70543-4300
(337) 250-0533

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
752822
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP03650
LA
367500000X
Certified Registered Nurse Anesthetist
AP1156860
TX
367500000X
Certified Registered Nurse Anesthetist
RN752822
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
288059301
TX
01
8854UB
BCBS
TX
01
P01030980
RAILROAD
TX
Enumeration date
01/31/2006
Last updated
03/31/2025
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