Individual provider · Type 1 NPI

John Kalieb Pourciau, D.P.M.

Foot & Ankle Surgery Podiatrist · Lake Charles, LA

NPI number 1053589580 Active

Practice location

1747 Imperial Blvd
Lake Charles, LA 70605-5362

Call (337) 721-7236 Map

Fax (337) 721-7237

Mailing address

501 Dr Michael Debakey Dr
Lake Charles, LA 70601-5724

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103XDPM200016 (LA)

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

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About NPI 1053589580

John Kalieb Pourciau, D.P.M.'s National Provider Identifier is 1053589580, issued on Feb 19, 2008. 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 Jan 30, 2017.