Individual
DR. STEPHANIE WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
715 W COLLEGE ST, LAKE CHARLES, LA 70605-1523
(337) 478-3123
(337) 478-3229
Mailing address
715 W COLLEGE ST, LAKE CHARLES, LA 70605-1523
(337) 478-3123
(337) 478-3229
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5170
LA
Other
Enumeration date
05/24/2007
Last updated
05/28/2024
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