Individual
SUSAN A. JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2770 2ND AVE, SUITE 101A, LAKE CHARLES, LA 70601-8992
(337) 474-0046
(337) 474-8919
Mailing address
2770 2ND AVE, SUITE 101A, LAKE CHARLES, LA 70601-8992
(337) 474-0046
(337) 474-8919
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18234
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1921564
—
LA
Enumeration date
09/19/2005
Last updated
05/21/2012
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