Individual
CHRISTINE MARIE DUGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1000 WALTERS ST, LAKE CHARLES, LA 70607-4647
(337) 480-8066
(337) 480-8109
Mailing address
PO BOX 122108 DEPT 2108, DALLAS, TX 75312-0001
(337) 494-2772
(337) 494-2928
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
324870
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2571311
—
LA
01
—
324870
STATE LICENSE
LA
Enumeration date
05/04/2012
Last updated
04/27/2022
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