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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MYRA CLAVIER WISE, MD

Active

MYRA CLAVIER WISE, MD is a Anesthesiology healthcare provider located in LAKE CHARLES, Louisiana. NPI 1205950771 is currently active in the NPPES registry. Verify at CMS.

Anesthesiology · LAKE CHARLES, LA

Registration Details

NPI Number
1205950771
Provider Type
Individual
Gender
Female
NPI Issued
Mar 19, 2007 (19.406207848499 yrs)
Last Updated
Oct 13, 2016
License
018805 (LA)

Practice Information

Address
424 W MCNEESE ST
LAKE CHARLES, LA, 706055547
Browse LA providers · Browse ZIP 70605
Phone
3374780511
Fax
3374785644
Primary Specialty
Anesthesiology
207L00000X

Other Anesthesiology Providers in LAKE CHARLES, LA

Name Credential NPI
RUSSELL A GUIDRY CRNA 1043297229
DWIGHT RAYMOND LEMOINE MD 1861479149
DWANE ANTHONY BELAIRE CRNA 1235116484
JOHN L SCOTT CRNA 1427038827
MICHAEL T SHANDERSKY CRNA 1013997410
MATTHEW E HUGHES CRNA 1447220660
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.