Healthcare Provider Details

I. General information

NPI: 1871439802
Provider Name (Legal Business Name): LING CORMIER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2025 SAMS WAY
LAKE CHARLES LA
70601-8783
US

IV. Provider business mailing address

5770 HIGHLAND HILLS BLVD
IOWA LA
70647-5168
US

V. Phone/Fax

Practice location:
  • Phone: 337-214-6436
  • Fax:
Mailing address:
  • Phone: 417-731-9720
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number1289
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: