WILLIAM FREDERICK KORTUM

LAFAYETTE, LA
NPI1225156151
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208D00000X General Practice
(Licence: LA  027100)
Enumeration Date2007-03-27
Last Update Date2007-07-08
Business Address
DR. WILLIAM FREDERICK KORTUM MD
3414 MOSS ST STE A
LAFAYETTE, LA 70507-6107
Phone number: 337-235-1212
Mailing Address
DR. WILLIAM FREDERICK KORTUM MD
3414 MOSS ST STE A
LAFAYETTE, LA 70507-6107
Phone number: 337-235-1212