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NPI Code Detail

MEDICARE: JANET LOUISE MOREHOUSE M.D.

MEDICARE: JANET LOUISE MOREHOUSE M.D.
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
1207Q00000XFamily Medicine Physician018513LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1619905312
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANET LOUISE MOREHOUSE M.D.
Provider Business Mailing Address
First Line : 1736 W PRIEN LAKE RD
Second Line :
City : LAKE CHARLES
State : LA
Zip : 70601-8361
Country : US
Telephone Number : 337-491-7730
Fax Number : 337-478-5086
Provider Business Practice Location Address
First Line : 1736 W PRIEN LAKE RD
Second Line :
City : LAKE CHARLES
State : LA
Zip : 70601-8361
Country : US
Telephone Number : 337-491-7730
Fax Number : 337-478-5086
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2006
Last Update Date : 02/11/2010

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