Individual
MR. COREY J MCCANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CANP
Contact information
Practice address
1717 OAK PARK BLVD FL 3, LAKE CHARLES, LA 70601-8990
(337) 494-4900
Mailing address
1747 IMPERIAL BLVD, LAKE CHARLES, LA 70605-5362
(337) 721-7236
Taxonomy
Speciality
Code
Description
License number
State
163WX0800X
Orthopedic Registered Nurse
RN114345
LA
363LA2200X
Adult Health Nurse Practitioner
Primary
AP06636
LA
Other
Enumeration date
07/29/2011
Last updated
09/13/2021
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