Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | RN076944AP03328 | LA |
NPI | 1528039922 |
---|---|
Provider Name | Ralph M Hays |
First Address | Lake Charles, LA 70601-5724 |
Second Address | Lake Charles, LA 70601-5724 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/02/2006 |
Last Update Date | 21/03/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1561584 | (05) | LA |
S69833 | (02) |