MICHAEL D FORD

LAKE CHARLES, LA
NPI1235109265
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: LA  RN085525)
Enumeration Date2006-01-24
Last Update Date2022-06-03
Business Address
MICHAEL D FORD CRNA
424 W MCNEESE ST
LAKE CHARLES, LA 70605-5547
Phone number: 337-478-0511
Mailing Address
MICHAEL D FORD CRNA
424 W MCNEESE ST
LAKE CHARLES, LA 70605-5547
Phone number: 337-478-0511
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