NPI 1477585040

Mary Louise Talbert

Practitioner Specialist Lake Charles, LA

Practice location

Address: 1011 Lake Shore Dr STE. 522, Lake Charles, LA 70601-9412
Phone: (337) 439-2119
Fax: (337) 439-2120
Mailing address: PO Box 580, Lake Charles, LA 70602-0580

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 2921-302-571 (LA)

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Registry record

NPI: 1477585040
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Jul 2006
Record last updated: 8 Jul 2007

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.