JOSHUA BENJAMIN BACON

LAKE CHARLES, LA
NPI1396274551
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: LA  323354)
Enumeration Date2017-06-09
Last Update Date2022-04-27
Business Address
Dr. JOSHUA BENJAMIN BACON MD
4345 NELSON RD STE 102
LAKE CHARLES, LA 70605-4183
Phone number: 337-480-7900
Mailing Address
Dr. JOSHUA BENJAMIN BACON MD
PO BOX 123594 DEPT 3594
DALLAS, TX 75312-0001
Phone number: 337-494-2772
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