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Contact Information

STANLEY R KORDISCH, MD
4150 NELSON RD
BLDG C-10
LAKE CHARLES, LA70605-4148
 Phone: 337-474-0653
 Fax: 337-474-0639
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for STANLEY R KORDISCH · (Male)

NPI # 1326008038
Status Active
Credentials MD
Entity Individual
Enumeration date 03/25/2006
Last updated 10/31/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • LA License # 013813
  • LA Medicaid 1303160
Hospital affiliation(s)
  • CHRISTUS ST PATRICK HOSPITAL - (Acute Care)
    524 DR MICHAEL DEBAKEY STREET
    LAKE CHARLES, LA 70601
  • LAKE CHARLES MEMORIAL HOSPITAL - (Acute Care)
    1701 OAK PARK BLVD
    LAKE CHARLES, LA 70601
  • WOMEN AND CHILDREN'S HOSPITAL AT LAKE CHARLES - (Acute Care)
    4200 NELSON ROAD
    LAKE CHARLES, LA 70605
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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