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Individual

DR. THOMAS C STRONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
2770 3RD AVE, SUITE 120, LAKE CHARLES, LA 70601
(337) 494-4868
(337) 494-4870
Mailing address
2770 3RD AVE, SUITE 120, LAKE CHARLES, LA 70601-8994
(337) 494-4868
(337) 494-4870

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
L017192
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1934747
LA
01
4E633C963
MEDICARE LEGACY
LA
Enumeration date
08/31/2006
Last updated
07/09/2015
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