Individual
DR. VAN A. SNIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1106 RYAN ST, LAKE CHARLES, LA 70601
(337) 497-9355
(337) 437-3692
Mailing address
1106 RYAN ST, LAKE CHARLES, LA 70601-5252
(337) 497-9355
(337) 437-3692
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD019378
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1900010
—
LA
Enumeration date
03/31/2006
Last updated
06/28/2018
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