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

DR. BARRY STEPHEN BORDENAVE, M.D.

Active Sole Proprietor

DR. BARRY STEPHEN BORDENAVE, M.D. is a Adolescent Medicine (Pediatrics) healthcare provider located in LAKE CHARLES, Louisiana. NPI 1811017882 is currently active in the NPPES registry. Verify at CMS.

Adolescent Medicine (Pediatrics) · LAKE CHARLES, LA

Registration Details

NPI Number
1811017882
Provider Type
Individual
Gender
Male
NPI Issued
Mar 30, 2007 (19.404540845031 yrs)
Last Updated
Jul 8, 2007
License
13559 (LA)
Sole Proprietor
Yes

Practice Information

Address
321 OVERHILL DR
LAKE CHARLES, LA, 706056527
Browse LA providers · Browse ZIP 70605
Phone
3374748886
Primary Specialty
Adolescent Medicine (Pediatrics)
2080A0000X

Other Adolescent Medicine (Pediatrics) Providers in LAKE CHARLES, LA

Name Credential NPI
DR. BERTRAND JOSEPH FOCH MD 1568446821
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.