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

MANLEY MCRAE JORDAN, MD

Active

MANLEY MCRAE JORDAN, MD is a Pulmonary Disease healthcare provider located in LAKE CHARLES, Louisiana. NPI 1932118296 is currently active in the NPPES registry. Verify at CMS.

Pulmonary Disease · LAKE CHARLES, LA

Registration Details

NPI Number
1932118296
Provider Type
Individual
Gender
Male
NPI Issued
Aug 5, 2006 (20.038331858498 yrs)
Last Updated
Dec 2, 2015
License
017837 (LA)

Practice Information

Address
2770 3RD AVE
SUITE 110
LAKE CHARLES, LA, 706018994
Browse LA providers · Browse ZIP 70601
Phone
3374942750
Fax
3374942760
Primary Specialty
Pulmonary Disease
207RP1001X

Other Pulmonary Disease Providers in LAKE CHARLES, LA

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.