Individual
JOHN REESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1214 COOLIDGE BLVD, LAFAYETTE, LA 70503-2621
(318) 769-3000
Mailing address
809 DAFNEY DR, LAFAYETTE, LA 70503-4749
(337) 396-1131
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN159101
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
245151
LA
Other
Enumeration date
07/22/2024
Last updated
01/14/2026
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