NPI 1255441382

Lucien Kennedy Moss, MD

Practitioner Specialist Lake Charles, LA

Practice location

Address: 2770 3rd Ave Suite 120, Lake Charles, LA 70601
Phone: (337) 494-4868
Fax: (337) 494-4870
Mailing address: 2770 3rd Ave Suite 120, Lake Charles, LA 70601-8994

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 015821 (LA)

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Registry record

NPI: 1255441382
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Aug 2006
Record last updated: 8 Apr 2008

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.