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Individual

DR. SAMUEL EDWARD SPREHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1890 W GAUTHIER RD, 205, LAKE CHARLES, LA 70605-7179
(337) 494-5595
(337) 494-5596
Mailing address
1890 W GAUTHIER RD, 205, LAKE CHARLES, LA 70605-7179
(337) 494-5595
(337) 494-5596

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
20619
MS
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
39361
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64098056
KY
Enumeration date
09/20/2005
Last updated
11/13/2013
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