THOMAS KAZECKI

LAKE CHARLES, LA
NPI1447677810
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: LA  308158)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2014-03-24
Last Update Date2018-08-27
Business Address
THOMAS KAZECKI
1905 COUNTRY CLUB RD
LAKE CHARLES, LA 70605
Phone number: 337-990-8000
Mailing Address
THOMAS KAZECKI
1905 COUNTRY CLUB RD
LAKE CHARLES, LA 70605-5203
Phone number: