Individual
DR. PING KOK LIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 WALTERS ST, LAKE CHARLES, LA 70607-4647
(337) 480-8066
(337) 480-8061
Mailing address
PO BOX 122108 DEPT 2108, DALLAS, TX 75312-2108
(337) 494-2921
(337) 494-6523
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11200R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1997072
—
LA
Enumeration date
03/24/2006
Last updated
05/26/2022
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