Individual
DR. JOSEPH WILLIAM CROOKSHANK III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1747 IMPERIAL BLVD, LAKE CHARLES, LA 70605-5362
(337) 721-7236
(337) 721-7237
Mailing address
501 DR MICHAEL DEBAKEY DR, LAKE CHARLES, LA 70601-5724
(337) 721-7236
(337) 721-7237
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
302153
LA
208VP0014X
Interventional Pain Medicine Physician
Primary
302153
LA
Other
Enumeration date
04/25/2012
Last updated
03/29/2018
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