Dr. John Kalieb Pourciau
Foot & Ankle Surgery
1747 Imperial Blvd
Lake Charles
, Louisiana 70605-5362
Dr. John Kalieb Pourciau
Foot & Ankle Surgery
1747 Imperial Blvd
Lake Charles
, Louisiana 70605-5362
(337) 312-6708
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About
Features
Specialties
- Foot & Ankle Surgery
Languages spoken
- English
Location
First Address
- Dr. John Kalieb Pourciau
- 501 Dr Michael Debakey Dr
- Lake Charles, LA
- Zip : 70601-5724
- Fax : (337) 312-6708
- Phone : (337) 433-8400
Second Address
- Dr. John Kalieb Pourciau
- 1747 Imperial Blvd
- Lake Charles, LA
- Zip : 70605-5362
- Fax : (337) 721-7237
- Phone : (337) 721-7236
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0103X | Foot & Ankle Surgery | DPM200016 | LA |
National Provider Identifier
| NPI | 1053589580 |
|---|---|
| Provider Name | Dr. John Kalieb Pourciau |
| First Address | Lake Charles, LA 70601-5724 |
| Second Address | Lake Charles, LA 70605-5362 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/02/2008 |
| Last Update Date | 30/01/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1198501 | (05) | LA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.