Individual
DEREK B HEBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1202 KIRKMAN ST STE C, LAKE CHARLES, LA 70601-5391
(337) 990-5305
Mailing address
2373 REGAN RD, IOTA, LA 70543-4926
(337) 329-3538
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
LA
Other
Enumeration date
01/09/2019
Last updated
01/09/2019
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