Individual
MRS. MAUREEN OLIVIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4150 NELSON RD, BUILDING E SUITE 1, LAKE CHARLES, LA 70605-4148
(337) 474-1386
(337) 474-2845
Mailing address
4150 NELSON RD, BUILDING E SUITE 1, LAKE CHARLES, LA 70605-4148
(337) 474-1386
(337) 474-2845
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
015309
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015309
STATE LICENSE
LA
05
—
1300586
—
LA
Enumeration date
01/10/2007
Last updated
05/06/2020
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