Individual
MR. CHRISTIAN CHARLES WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
501 DR MICHAEL DEBAKEY DR, LAKE CHARLES, LA 70601-5724
(337) 312-8291
(337) 312-6703
Mailing address
501 DR MICHAEL DEBAKEY DR, LAKE CHARLES, LA 70601-5724
(337) 312-8291
(337) 312-6703
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN122676
LA
363LF0000X
Family Nurse Practitioner
Primary
203824
LA
Other
Enumeration date
12/18/2018
Last updated
04/02/2019
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