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Contact Information

BRIAN MIKULLA, MD
1980 TYBEE ST
LAKE CHARLES, LA70605-4173
 Phone: 337-477-0963
 Fax: 337-477-1912
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for BRIAN MIKULLA · (Male)

NPI # 1194959585
Status Active
Credentials MD
Entity Individual
Enumeration date 05/13/2009
Last updated 07/15/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • LA License # MD.203922
Hospital affiliation(s) Not Available
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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