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Individual

DR. JEREMY ROSS WARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
4211 LAKE STREET, SUITE 20, LAKE CHARLES, LA 70605
(337) 990-5497
(337) 990-5570
Mailing address
4211 LAKE STREET, SUITE 20, LAKE CHARLES, LA 70605
(337) 990-5497
(337) 990-5570

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
11914
TX
111N00000X
Chiropractor
Primary
1645
LA

Other

Enumeration date
02/22/2012
Last updated
04/18/2019
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