Individual
RODOLFO MANGUBAT RAMOS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2025 OAK PARK BLVD, LAKE CHARLES, LA 70601-7827
(337) 478-2573
(337) 478-5296
Mailing address
2025 OAK PARK BLVD, LAKE CHARLES, LA 70601-7827
(337) 478-2573
(337) 478-5296
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
10998R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10998R
—
LA
Enumeration date
04/12/2006
Last updated
01/24/2019
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