Christopher Lee Granger MD

NPI 1861472110 - Family Medicine - 207Q00000X

NPI Details
NPI 1861472110
Gender Male
Enumeration Date 01/20/2006
Last Updated 01/18/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
403 W 8TH ST
DERIDDER LA, 70634-5507, US
Phone (337) 463-8977
Fax (337) 462-3093
Business Location
403 W 8TH ST
DERIDDER LA, 70634-5507, US
Phone (337) 463-8977
Fax (337) 462-3093
Toxanomy
Taxonomy Code 207Q00000X
License State Louisiana
License Number MD.200031
Remove 1861472110 NPI Number
 

According to our database, Dr. Christopher Lee Granger MD NPI is 1861472110, taxonomy code is 207Q00000X and license number is MD.200031, license state is located at Louisiana. Christopher Lee Granger MD physically located at 403 W 8th St, Deridder LA, 70634-5507. NPI Number Christopher Lee Granger MD has the Individual type.

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1861472110 NPI number is provided on an as is basis without warranty of any kind. 1861472110 is maintained by the National Plan & Provider Enumeration System. The contents of Christopher Lee Granger MD are for informational purposes only.