Individual
DR. DEBORAH MAUDE DECKER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2903 1ST AVE, LAKE CHARLES, LA 70601-8809
(337) 478-6480
(337) 474-9637
Mailing address
2903 1ST AVE, LAKE CHARLES, LA 70601-8809
(337) 478-6480
(337) 474-9637
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
022595
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1490857
—
LA
Enumeration date
11/02/2005
Last updated
07/08/2007
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