Individual
MARK LANCE DOIRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
424 W MCNEESE ST, LAKE CHARLES, LA 70605-5547
(337) 478-0511
(337) 478-5644
Mailing address
424 W MCNEESE ST, LAKE CHARLES, LA 70605-5547
(337) 478-0511
(337) 478-5644
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
21584
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050052908
RAILROAD MEDICARE PIN
LA
05
—
1688967
—
LA
Enumeration date
02/14/2006
Last updated
10/12/2016
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