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Individual

MR. TAYLOR JAMES RENE BELAIRE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
2750 ASTER ST, LAKE CHARLES, LA 70601-8824
(337) 480-8900
(337) 480-8901
Mailing address
PO BOX 122539 DEPT 2539, DALLAS, TX 75312-0001
(337) 494-2772
(337) 494-2928

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
218663
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
218663
STATE NP LICENSE
LA
05
2563050
LA
Enumeration date
02/23/2021
Last updated
01/16/2025
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