NPI 1568570653 · live from the CMS NPI Registry
Anthony K Adeosun, M.D.
Family Medicine in Lake Charles, LA. National Provider Identifier 1568570653, active.
NPI record
| NPI | 1568570653 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 333 Doctor Michael Debakey Dr, Suite 120, Lake Charles, LA 70601 |
| Practice phone | 337-493-8480 |
| Mailing address | 333 Doctor Michael Debakey Dr, Suite120, Lake Charles, LA 70601 |
| Enumerated | August 28, 2006 |
| Last updated | July 28, 2015 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine | 207Q00000X | 14928 (MS) |
| Family Medicine primary | 207Q00000X | MD202004 (LA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.