Individual
DR. DAVID JACOB DREZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1747 IMPERIAL BLVD, LAKE CHARLES, LA 70605-5362
(337) 721-7236
(337) 721-7237
Mailing address
501 DR MICHAEL DEBAKEY DR, LAKE CHARLES, LA 70601-5724
(337) 312-8258
(337) 312-6711
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
009625
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009625
STATE LICENSE NUMBER
LA
05
—
1073059
—
LA
01
—
5J432CW97
MEDICARE LEGACY
LA
01
—
J1652
STATE LICENSE NUMBER
TX
Enumeration date
05/11/2006
Last updated
01/30/2017
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