DONNA LOUISE BOURQUE

LAKE CHARLES, LA
NPI1184846792
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: LA  78482)
Enumeration Date2007-05-03
Last Update Date2007-07-08
Business Address
Ms. DONNA LOUISE BOURQUE RN
801 W BAYOU PINES DR
LAKE CHARLES, LA 70601-7076
Phone number: 337-439-3205
Mailing Address
Ms. DONNA LOUISE BOURQUE RN
280 QUARTER HORSE LN
SINGER, LA 70660-3546
Phone number: 337-786-3245