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1326008038
STANLEY R KORDISCH
LAKE CHARLES, LA
NPI
1326008038
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207VG0400X Obstetrics & Gynecology, Gynecology
(Licence: LA 013813)
Enumeration Date
2006-03-25
Last Update Date
2007-10-31
Business Address
-- STANLEY R KORDISCH M.D.
4150 NELSON RD BLDG C-10
LAKE CHARLES, LA 70605-4148
Phone number: 337-474-0653
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Mailing Address
-- STANLEY R KORDISCH M.D.
4150 NELSON RD BLDG C-10
LAKE CHARLES, LA 70605-4148
Phone number: 337-474-0653
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