Individual
DR. RAYMOND J. STEINER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4550 LAKE ST, LAKE CHARLES, LA 70605-5414
(337) 478-1000
(337) 478-7200
Mailing address
4108 WOODSIDE DR, LAKE CHARLES, LA 70605-4034
(337) 478-4784
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
4011
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1840114
—
LA
01
—
827810
UNITED CONCORDIA
LA
01
—
G1234
BLUE CROSS BLUE SHIELD
LA
Enumeration date
10/27/2005
Last updated
07/08/2007
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