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

DR. JOSHUA BENJAMIN BACON, MD

Active Sole Proprietor

DR. JOSHUA BENJAMIN BACON, MD is a Family Medicine healthcare provider located in LAKE CHARLES, Louisiana. NPI 1396274551 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · LAKE CHARLES, LA

Registration Details

NPI Number
1396274551
Provider Type
Individual
Gender
Male
NPI Issued
Jun 9, 2017 (9.1852182576601 yrs)
Last Updated
Apr 27, 2022
License
323354 (LA)
Sole Proprietor
Yes

Practice Information

Address
4345 NELSON RD STE 102
LAKE CHARLES, LA, 706054183
Browse LA providers · Browse ZIP 70605
Phone
3374807900
Fax
3376026358
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in LAKE CHARLES, LA

Name Credential NPI
MR. WILLIAM CARL NABOURS MD 1659371193
DR. EARL RAY STAGG M.D. 1508866963
ALAN LYNN LEBATO MD 1528069739
BRYAN BAROOTES MD 1326040858
DR. EARL JOHN SOILEAU JR. MD 1912999707
DR. RICHARD THOMAS CALDWELL M.D. 1952392532
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.