REYNARD C ODENHEIMER MD A PROFESSIONAL MEDICAL CORPORATION
Neurology at Bayou Pines Dr, Lake Charles, LA

License number
Louisiana 020159
Category
Neurology
Type
Neurology
Owner
Name: MS. PAT GAIL KERSCH M.D.
Title: OFFICE MANAGER
Phone: (337) 439-5588
Address
Address
816 W Bayou Pines Dr, Lake Charles, LA 70601
National Provider ID: 1215326756
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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REYNARD C. ODENHEIMER, M.D. (A PROFESSIONAL MEDICAL CORPORATION)

Lake Charles, LA

Registration:
Mar 14, 1997
Addresses:
816 W Byu Pne Dr, Lake Charles, LA 70601 (Physical)
C/O Reynard C Odenheimer, Lake Charles, LA 70601 (Mailing)
State ID:
34554163D
Business type:
Business Corporation
Director:
Reynard C. Odenheimer, M.d (Director), 816 W Byu Pne Dr, Lake Charles, LA 70601 (Physical)

Reynard C. Odenheimer, M.D. (A Professional Medical Corporation)

1214 9 St, Lake Charles, LA 70601

Industry:
Health/Allied Services

Neurology licenses in Louisiana






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