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Individual

MR. JOSEPH R. CARAWAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
2604 LORRAINE LN, LAKE CHARLES, LA 70605-4009
(337) 474-3045
Mailing address
2604 LORRAINE LN, LAKE CHARLES, LA 70605-4009
(337) 474-3045

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP04394
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1179281
LA
Enumeration date
11/30/2005
Last updated
07/15/2009
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