Individual
DR. SUSAN BOURGEOIS IEYOUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4345 NELSON RD STE 201, LAKE CHARLES, LA 70605-4183
(337) 494-6800
(337) 494-6811
Mailing address
3801 PLACID LN, LAKE CHARLES, LA 70605-6773
(337) 448-4599
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L10821R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1693910
—
LA
01
—
MD.10821R
STATE LICENSE
LA
Enumeration date
11/16/2006
Last updated
01/02/2026
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