Ryan James Burrill, M.D.
Student in an Organized Health Care Education/Training Program in Lake Charles, LA. Individual provider (NPI-1).
NPI number1275916439
StatusActive
Last updated in NPPESJul 10, 2015
Details
- NPI
- 1275916439
- Entity type
- Individual (NPI-1)
- Name
- Ryan James Burrill
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 7, 2015
- Last updated
- Jul 10, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
1525 Oak Park BlvdLake Charles, LA 70601-8849
Phone 337-494-6767 · Fax 337-494-6750
Mailing address
1525 Oak Park BlvdLake Charles, LA 70601-8849
Phone 337-494-6767 · Fax 337-494-6750
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All 40 Student in an Organized Health Care Education/Training Program providers in Lake Charles · All 3,953 providers in Lake Charles
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