Individual
DR. WALTER PIERRE LEDET JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
914 CYPRESS ST, SULPHUR, LA 70663-5107
(337) 527-6363
(337) 528-2168
Mailing address
914 CYPRESS ST, SULPHUR, LA 70663-5107
(337) 527-6363
(337) 528-2168
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
070975
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1145670
—
LA
01
—
1816312002
CIGNA
LA
01
—
5136427
AETNA
LA
01
—
721115080 70663 A003
TRICARE
LA
Enumeration date
09/16/2005
Last updated
07/08/2007
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