Whalio Doctors

NPI 1326401183

Jenna Roach, MD

Practitioner Dermatology Physician Lake Charles, LA

Practice location

Address
2000 Tybee Ln, Lake Charles, LA 70605-4171
Phone
(337) 433-7272
Fax
(337) 433-0730

Registered specialties

Dermatology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 321797 (LA)

Registry record

NPI
1326401183
Entity type
Individual
Sex (as registered)
Female
NPI issued
30 Mar 2016
Record last updated
30 Jan 2020

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.