TYSON ELLIS GREEN

LAKE CHARLES, LA
NPI1407001787
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: LA  DPM200024)
Enumeration Date2008-11-30
Last Update Date2017-01-30
Business Address
Dr. TYSON ELLIS GREEN D.P.M.
1747 IMPERIAL BLVD
LAKE CHARLES, LA 70605-5362
Phone number: 337-721-7236
Mailing Address
Dr. TYSON ELLIS GREEN D.P.M.
501 DR MICHAEL DEBAKEY DR
LAKE CHARLES, LA 70601-5724
Phone number: 337-312-8258