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Search › Louisiana › 207W00000X

Brian Mikulla, MD

NPI 1194959585 · on the registry since 2009 · sole proprietor

Practice

Address
1980 Tybee St
Lake Charles, LA 70605
Phone
(337) 477-0963
Fax
(337) 477-1912
Organisation at this address
Paradise Optical & Gifts
Paradise Optical & Gifts Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
207W00000X
207W00000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-07-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana