TIMOTHY JOSEPH DOUGHERTY

LAKE CHARLES, LA
NPI1487046694
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: LA  AP08206)
Enumeration Date2015-02-25
Last Update Date2017-05-01
Business Address
-- TIMOTHY JOSEPH DOUGHERTY NP
501 DR MICHAEL DEBAKEY DR
LAKE CHARLES, LA 70601-5724
Phone number: 337-312-8249
Mailing Address
-- TIMOTHY JOSEPH DOUGHERTY NP
711 DR MICHAEL DEBAKEY DR
LAKE CHARLES, LA 70601-5785
Phone number: 337-312-8247
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