BENJAMIN M AZEVEDO

LAKE CHARLES, LA
NPI1821434432
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: LA  305391)
Enumeration Date2013-05-22
Last Update Date2022-02-03
Business Address
BENJAMIN M AZEVEDO M. D., M. P H
1000 WALTERS ST
LAKE CHARLES, LA 70607-4647
Phone number: 337-480-8066
Mailing Address
BENJAMIN M AZEVEDO M. D., M. P H
PO BOX 122108 DEPT 2108
DALLAS, TX 75312-2108
Phone number: 337-494-2772
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