Drez, Susan E

Drez, Susan E is an individual health care provider with primary practice located at 1000 Walters Street , Lake Charles LA 70607. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Drez, Susan E can be contacted via phone (337) 475-8429.

Contact Information

Primary practice address
1000 Walters Street Lake Charles LA 70607
Phone: (337) 475-8429
Fax: (337) 475-8415
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 020835 Louisiana

Profile Details

NPI number 1821089673
LBN Legal business name Drez, Susan E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2005
Last updated Nov 2nd, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821089673 NPPES
Louisiana MEDICAID 1974374

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