Search › Louisiana › 101YP2500X
John Boudreaux, MA
NPI 1417669763 · on the registry since 2022
Practice
- Address
- 4105 Kirkman St
Lake Charles, LA 70607 - Phone
- (337) 475-3105
- Fax
- (337) 475-3105
- Organisation at this address
- State Of La/Dhh/Obh
Genoa Healthcare Llc
Department Of Health And Hospitals
Imperial Calcasieu Human Services Authority
Imperial Calcasieu Human Services AuthorityInferred from a shared address, not stated in the registry. - Clinicians at this address
- 53
Additional practice sites
- 2651 E Napoleon St, Sulphur, LA
- 1925 Enterprise Blvd, Lake Charles, LA
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-11-10
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