Individual provider · Type 1 NPI

Bradley Lane Jimerson, DPM

Foot & Ankle Surgery Podiatrist · Lake Charles, LA

NPI number 1013579150 Active

Practice location

1747 Imperial Blvd
Lake Charles, LA 70605-5362

Fax (337) 721-7237

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XPO9593 (LA)
Foot & Ankle Surgery Podiatrist Primary 213ES0103X322786 (LA)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1013579150

Bradley Lane Jimerson, DPM's National Provider Identifier is 1013579150, issued on Jun 28, 2019. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Lake Charles, LA. The record was last updated on Jul 1, 2022.