Individual provider · Type 1 NPI

Jacob Gus Cochran

Student in an Organized Health Care Education/Training Program · Lake Charles, LA

NPI number 1699514745 Active

Practice location

1434 Sam Houston Jones Pkwy
Lake Charles, LA 70611-5458

Other practice locations

  • 1910 Maplewood Dr, Sulphur, LA 70663-6006 · (337) 625-8787

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2 other providers at this address

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About NPI 1699514745

Jacob Gus Cochran's National Provider Identifier is 1699514745, issued on May 20, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lake Charles, LA. The record was last updated on May 20, 2024.