Individual provider · NPI-1

Dr. Jason N. Baesler, M.D.

Family Medicine · Lake Charles, LA

NPI number1679772768
StatusActive
Last updated in NPPESJun 30, 2015

Details

NPI
1679772768
Entity type
Individual (NPI-1)
Name
Dr. Jason N. Baesler
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jul 17, 2007
Last updated
Jun 30, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine204140LAYes

Practice location

1525 Oak Park Blvd
Lake Charles, LA 70601-8849

Phone 337-494-2023 · Fax 337-460-6966

Mailing address

1525 Oak Park Blvd
Lake Charles, LA 70601-8849

Phone 337-494-2023 · Fax 337-460-6966

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine providers in Lake Charles, LA