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DWIGHT RAYMOND LEMOINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
424 W MCNEESE ST, LAKE CHARLES, LA 70605-5547
(337) 478-0511
(337) 478-5644
Mailing address
424 W MCNEESE ST, LAKE CHARLES, LA 70605-5547
(337) 478-0511
(337) 478-5644

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
19919
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050025306
RAILROAD MEDICARE PIN
LA
05
1931403
LA
Enumeration date
12/28/2005
Last updated
10/12/2016
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