Individual
DR. BENJAMIN J PALOMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4806 WEAVER RD, LAKE CHARLES, LA 70605-5100
(888) 443-7236
(337) 602-4904
Mailing address
4806 WEAVER RD, LAKE CHARLES, LA 70605-5100
(337) 296-4139
(888) 443-7236
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD.204031
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02950
—
LA
Enumeration date
05/24/2007
Last updated
06/04/2020
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