Individual
DR. STEVEN RAYMOND LATIOLAIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
644 HIGHWAY 171 N, SUITE D, LAKE CHARLES, LA 70611
(337) 855-2742
Mailing address
1477 CRAWFORD DR, P.O. BOX 12042, LAKE CHARLES, LA 70611-4709
(337) 855-2742
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
LA 3299
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1832995
—
LA
Enumeration date
03/21/2007
Last updated
07/08/2007
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