Individual
DR. JOSEPH J O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4150 NELSON RD, BUILDING G, SUITE 3, LAKE CHARLES, LA 70605-4148
(337) 562-3732
(337) 562-3699
Mailing address
4150 NELSON RD, BUILDING G, SUITE 3, LAKE CHARLES, LA 70605-4148
(337) 562-3732
(337) 562-3699
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
08602R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1910830
—
LA
01
—
4601931
AETNA
LA
Enumeration date
09/16/2005
Last updated
11/16/2012
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