Individual
DR. REYNARD C ODENHEIMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
646 W MCNEESE ST, LAKE CHARLES, LA 70605-5558
(337) 439-5888
(337) 439-0808
Mailing address
646 W MCNEESE ST, LAKE CHARLES, LA 70605-5558
(337) 439-5888
(337) 439-0808
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD020159
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1684821
—
LA
Enumeration date
10/13/2006
Last updated
01/10/2023
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