NPI 1174889794

Justin William Rudd, MD

Practitioner Surgery Physician Lake Charles, LA

Practice location

Address: 501 Dr Michael Debakey Dr, Lake Charles, LA 70601
Phone: (337) 312-8762
Fax: (337) 312-8044
Mailing address: 501 Dr Michael Debakey Dr, Lake Charles, LA 70601-5724

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 309562 (LA)

Other Surgery providers in Louisiana →

Registry record

NPI: 1174889794
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Apr 2012
Record last updated: 29 Jun 2026

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.