Individual
DR. CHRISTIAN EDWARD MOREL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5000 HENNESSY BLVD, OUR LADY OF THE LAKE RMC RADIOLOGY DEPT., BATON ROUGE, LA 70808-4375
(225) 757-0552
(225) 763-9997
Mailing address
8230 SUMMA AVE STE C, BATON ROUGE, LA 70809-3465
(225) 757-0552
(225) 763-9997
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
026023
LA
2085R0202X
Diagnostic Radiology Physician
Primary
026023
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1055891
—
LA
01
—
4N195
MEDICARE
LA
01
—
P00637235
MEDICARE RAILROAD
LA
Enumeration date
12/04/2006
Last updated
11/03/2014
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