Stewart, Larry Don

Stewart, Larry Don is an individual health care provider with primary practice located at 1767 Imperial Blvd , Lake Charles LA 70605-5362. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Stewart, Larry Don can be contacted via phone (337) 478-3810.

Contact Information

Primary practice address
1767 Imperial Blvd Lake Charles LA 70605-5362
Phone: (337) 478-3810
Fax: (337) 478-6360
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 10908 Louisiana

Profile Details

NPI number 1326020371
LBN Legal business name Stewart, Larry Don
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated May 26th, 2020 - about 5 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 1326020371 NPPES
Louisiana Other 5658171 AETNA
Louisiana MEDICAID 1112755 AETNA
Louisiana Other 720680677014 AETNA
Louisiana Other 180011359 AETNA

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