MEDICARE: KARLI ROGER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	AP217557	LA

General Provider Information

NPI Number	:	1275490500
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARLI ROGER

Provider Business Mailing Address
First Line	:	211B ROBIN RD
Second Line	:
City	:	DUSON
State	:	LA
Zip	:	70529-3203
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	836 UNIVERSITY DR
Second Line	:
City	:	LAKE CHARLES
State	:	LA
Zip	:	70605-6120
Country	:	US
Telephone Number	:	337-990-8595
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/08/2026
Last Update Date	:	01/17/2026

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Directions to “ KARLI ROGER ” Practice Location

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