Moss, Lucien Kennedy

Moss, Lucien Kennedy is an individual health care provider with primary practice located at 2770 3Rd Ave Suite 120, Lake Charles LA 70601. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Moss, Lucien Kennedy can be contacted via phone (337) 494-4868.

Contact Information

Primary practice address
2770 3Rd Ave Suite 120 Lake Charles LA 70601
Phone: (337) 494-4868
Fax: (337) 494-4870
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 015821 Louisiana

Profile Details

NPI number 1255441382
LBN Legal business name Moss, Lucien Kennedy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Apr 8th, 2008 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1255441382 NPPES
Louisiana MEDICAID 1341280
Louisiana Other 50046C963

Popular Providers