Individual
JESSICA MARIE MIGLICCO COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1890 W GAUTHIER RD STE 145, LAKE CHARLES, LA 70605-7600
(337) 480-5590
(337) 480-5591
Mailing address
PO BOX 122534 DEPT 2534, DALLAS, TX 75312-0001
(337) 494-2921
(337) 494-6523
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
336284
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/19/2019
Last updated
08/21/2023
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