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1386025336
TYLER JORDAN ZACHARY
LAKE CHARLES, LA
NPI
1386025336
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism
(Licence: LA 324348)
Enumeration Date
2015-06-16
Last Update Date
2021-03-22
Business Address
TYLER JORDAN ZACHARY M.D.
1727 IMPERIAL BLVD BLDG 2
LAKE CHARLES, LA 70605-5393
Phone number: 337-310-3670
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Mailing Address
TYLER JORDAN ZACHARY M.D.
501 DR MICHAEL DEBAKEY DR
LAKE CHARLES, LA 70601-5724
Phone number: 433-337-8400
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