Individual provider · Type 1 NPI

Javier Nicolas Retamales Lepe, MD

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

NPI number 1912846205 Active

Practice location

1525 Oak Park Blvd
Lake Charles, LA 70601-8849

Call (337) 494-6767 Map

Fax (337) 494-6750

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.

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About NPI 1912846205

Javier Nicolas Retamales Lepe, MD's National Provider Identifier is 1912846205, issued on Mar 25, 2026. 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 Jul 21, 2026.