Organization
LAKE CHARLES RHEUMATOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN STRYDER LYMAN M.D. (OWNER)
(504) 432-9969
Entity
Organization
Contact information
Practice address
608 W MCNEESE ST, LAKE CHARLES, LA 70605-5530
(504) 432-9969
(337) 439-0669
Mailing address
608 W MCNEESE ST, LAKE CHARLES, LA 70605-5530
(504) 432-9969
(337) 439-0669
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
MD201804
LA
Other
Enumeration date
05/24/2010
Last updated
06/09/2010
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