Individual
MR. WILLIAM PATRICK DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
721 BAYOU PINES EAST DR, LAKE CHARLES, LA 70601-7183
(337) 494-4768
(337) 494-4766
Mailing address
501 DR. MICHAEL DEBAKEY DRIVE, LAKE CHARLES, LA 70601
(337) 433-8400
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN087856AP05471
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2134230
—
LA
Enumeration date
05/25/2008
Last updated
01/26/2011
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