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Charlotte Bordelon
NPI 1528565942 · on the registry since 2018 · sole proprietor
Practice
- Address
- 1516 Clover Dr
Lake Charles, LA 70607 - Phone
- (337) 215-2613
- Fax
- (337) 990-5077
Registry record
- Primary taxonomy
- 343900000X
343900000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-04-11
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