Stanley R Kordisch, M.D.
Obstetrics & Gynecology, Gynecology in Lake Charles, LA. Individual provider (NPI-1).
NPI number1326008038
StatusActive
Last updated in NPPESOct 31, 2007
Details
- NPI
- 1326008038
- Entity type
- Individual (NPI-1)
- Name
- Stanley R Kordisch
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 25, 2006
- Last updated
- Oct 31, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207VG0400X | Obstetrics & Gynecology, Gynecology | 013813 | LA | Yes |
Practice location
4150 Nelson RdBldg C-10
Lake Charles, LA 70605-4148
Phone 337-474-0653 · Fax 337-474-0639
Mailing address
4150 Nelson RdBldg C-10
Lake Charles, LA 70605-4148
Phone 337-474-0653 · Fax 337-474-0639
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