Individual
THERESE ANN NOVAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1717 OAK PARK BLVD FL 2, LAKE CHARLES, LA 70601-8990
(337) 494-4900
(337) 494-4707
Mailing address
PO BOX 122108 DEPT 2108, DALLAS, TX 75312-0001
(337) 494-2921
(337) 494-6523
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP02313
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1180157
—
LA
01
—
AP02313
STATE LICENSE
LA
Enumeration date
03/02/2007
Last updated
02/12/2025
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