Individual
DR. EARL JOHN SOILEAU JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1525 OAK PARK BLVD, LAKE CHARLES, LA 70601-8849
(337) 494-6767
(337) 494-6750
Mailing address
PO BOX 123453 DEPT 3453, DALLAS, TX 75312-0001
(337) 494-2921
(337) 494-6523
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L017348
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1341690
—
LA
01
—
MD.017348
STATE LICENSE
LA
Enumeration date
08/17/2005
Last updated
04/28/2022
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