NPI 1053819706

David Lee Mouton, CNIM

Practitioner Electroneurodiagnostic Specialist/Technologist Carencro, LA

Practice location

Address: 113 E Saint Peter St, Carencro, LA 70520-4008
Phone: (225) 239-2301
Fax: (225) 341-8526
Mailing address: PO Box 187, Carencro, LA 70520-0187

Registered specialties

Electroneurodiagnostic Specialist/Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZE0600X Licence 3229

Other Specialist/Technologist, Other providers in Louisiana →

Registry record

NPI: 1053819706
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Jan 2018
Record last updated: 23 Aug 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.