Organization
JOHNLCOCCHIARAMDAPROFESSIONALMEDICALCORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN LUCAS COCCHIARA M.D. (GENERAL SURGEON)
(337) 439-9419
Entity
Organization
Contact information
Practice address
1739 RYAN ST, LAKE CHARLES, LA 70601-6049
(337) 439-9419
(337) 491-9577
Mailing address
1739 RYAN ST, LAKE CHARLES, LA 70601-6049
(337) 439-9419
(337) 491-9577
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
07/19/2010
Last updated
10/15/2010
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