Individual
JOHN A DIGIGLIA III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4150 NELSON RD STE E5, LAKE CHARLES, LA 70605-4133
(337) 474-7290
(337) 477-4674
Mailing address
501 DR MICHAEL DEBAKEY DR, LAKE CHARLES, LA 70601-5724
(337) 312-8258
(337) 312-6708
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19034
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1018163
—
LA
Enumeration date
04/04/2006
Last updated
04/13/2021
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