Individual
DOUG SPISAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
105 MEAGANS WAY DR, YOUNGSVILLE, LA 70592-5533
(337) 962-0312
Mailing address
105 MEAGANS WAY DR, YOUNGSVILLE, LA 70592-5533
(337) 962-0312
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
566943
LA
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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