Dr CANDICE A BOUDREAUX is a female medical professional, specializing in Nurse Practitioner. She graduated in 2017.
LCMS REHABILITATION INSTITUTE OF SOUTHWEST LOUISIANA
1000 WALTERS ST
LCMS REHABILITATION INSTITUTE OF SW
LAKE CHARLES
LA
706074647
Tel: 3374808066
| Npi | 1780196907 |
| Pac Id | 3870854680 |
| Professional Enrollment Id | I20180219000509 |
| Last Name | BOUDREAUX |
| First Name | CANDICE |
| Middle Name | A |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
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| Organization Legal Name | LCMS REHABILITATION INSTITUTE OF SOUTHWEST LOUISIANA |
| Group Practice Pac Id | 7012061930 |
| Number Of Group Practice Members | 37 |
| Line 1 Street Address | 1000 WALTERS ST |
| Line 2 Street Address | LCMS REHABILITATION INSTITUTE OF SW |
| Marker Of Address Line 2 Suppression | |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 706074647 |
| Phone Number | 3374808066 |
| Hospital Affiliation Ccn 1 | 190060 |
| Hospital Affiliation Lbn 1 | LAKE CHARLES MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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