Individual provider · Type 1 NPI

Timothy Joseph Dougherty, NP

Family Nurse Practitioner · Lake Charles, LA

NPI number 1487046694 Active

Practice location

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

Fax (337) 312-6711

Mailing address

711 Dr Michael Debakey Dr
Lake Charles, LA 70601-5785

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAP08206 (LA)

Family Nurse Practitioner: Definition to come...

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About NPI 1487046694

Timothy Joseph Dougherty, NP's National Provider Identifier is 1487046694, issued on Feb 25, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lake Charles, LA. The record was last updated on May 1, 2017.