Individual
KIMBERLY J LAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3601 GERSTNER MEMORIAL BLVD # 14, LAKE CHARLES, LA 70607-3231
(337) 475-9500
(337) 475-9599
Mailing address
3601 GERSTNER MEMORIAL BLVD # 14, LAKE CHARLES, LA 70607-3231
(337) 475-9500
(337) 475-9599
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200006
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1355488
—
LA
Enumeration date
07/09/2006
Last updated
10/12/2023
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