Individual
CLIFFORD ARMAND COURVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2770 3RD AVE STE 350, LAKE CHARLES, LA 70601-0404
(337) 494-2750
(337) 494-2760
Mailing address
PO BOX 122309, DEPT 2309, DALLAS, TX 75312-2309
(337) 494-2921
(337) 494-6523
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MD.206845
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2368729
—
LA
01
—
MD.206845
STATE MEDICAL LICENSE
LA
Enumeration date
06/19/2008
Last updated
04/28/2022
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