Organization
KEITH F. DESONIER, MD, APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH F. DESONIER M.D. (OWNER)
(337) 439-0555
Entity
Organization
Contact information
Practice address
555 S RYAN ST, LAKE CHARLES, LA 70601-5724
(337) 439-0555
(337) 436-6223
Mailing address
555 S RYAN ST, LAKE CHARLES, LA 70601-5724
(337) 439-0555
(337) 436-6223
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
013217
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1320609
—
LA
Enumeration date
09/20/2006
Last updated
05/08/2008
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