JOHN K POURCIAU, DPM, Surgery, Foot & Ankle LAKE CHARLES, LA

Contact Information

JOHN K POURCIAU, DPM

1747 IMPERIAL BLVD
LAKE CHARLES, LA 70605-5362

Phone: 337-721-7236
Fax: 337-721-7237
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgery, Foot & Ankle	213ES0103X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for JOHN K POURCIAU · (Male)

NPI #	`1053589580`
Status	Active
Credentials	DPM (Doctor of Podiatric Medicine)
Entity	Individual
Enumeration date	02/19/2008
Last updated	01/30/2017 - About 9 years ago
Sole proprietor ¹	No
Identifiers	LA License # DPM200016 LA Medicaid 1198501
Hospital affiliation(s)	BEAUREGARD MEMORIAL HOSPITAL - (Acute Care) 600 S PINE STREET DERIDDER, LA 70634 CHRISTUS ST PATRICK HOSPITAL - (Acute Care) 524 DR MICHAEL DEBAKEY STREET LAKE CHARLES, LA 70601 JENNINGS AMERICAN LEGION HOSPITAL - (Acute Care) 1634 ELTON ROAD JENNINGS, LA 70546

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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JOHN K POURCIAU, DPM – NPI #1053589580Surgery, Foot & Ankle

Contact Information

Specialty

Surgery, Foot & Ankle

NPI Profile & details for JOHN K POURCIAU · (Male)

Reviews for JOHN K POURCIAU

JOHN K POURCIAU, DPM – NPI #1053589580
Surgery, Foot & Ankle