Individual
MECAH A IDIKWU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2000 OPELOUSAS ST, LAKE CHARLES, LA 70601-2641
(337) 439-9983
(337) 439-8898
Mailing address
2000 OPELOUSAS ST, LAKE CHARLES, LA 70601-2641
(337) 439-9983
(337) 439-8898
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
223391
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
865421
TX
Other
Enumeration date
09/30/2021
Last updated
04/04/2023
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