NPI 1205950771

Myra Clavier Wise, MD

Practitioner Anesthesiology Physician Lake Charles, LA

Practice location

Address: 424 W McNeese St, Lake Charles, LA 70605-5547
Phone: (337) 478-0511
Fax: (337) 478-5644

Registered specialties

Anesthesiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 018805 (LA)

Other Anesthesiology providers in Louisiana →

Registry record

NPI: 1205950771
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Mar 2007
Record last updated: 13 Oct 2016

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.