Earl Ray Stagg in Lake Charles - Family Medicine
Earl Ray Stagg - NPI 1508866963
Earl Ray Stagg is a Family Medicine in Lake Charles, Louisiana. Earl Ray Stagg practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Earl Ray Stagg is 1508866963. The last update date is 2016-11-14.
Earl Ray Stagg's current location address is 2800 1st Ave, Lake Charles, Louisiana. You can contact this provider via phone number 3374919880 and fax number 3374333268. The mailing address for Earl Ray Stagg is 2800 1st Ave, Lake Charles, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Earl Ray Stagg |
|---|---|
| Address | 2800 1st Ave, Lake Charles, Louisiana |
| Phone Number | 3374919880 |
| Fax Number | 3374333268 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1508866963 |
|---|---|
| Provider Enumeration Date | 2005-07-28 |
| Last Updated Date | 2016-11-14 |
Provider Mailing Address Detail
| Address | 2800 1st Ave |
|---|---|
| City | Lake Charles |
| State | Louisiana (LA) |
| Post Code | 706018884 |
| Phone Number | 3374919880 |
| Fax Number | 3374333268 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | MD010857 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 55502CE16 | LA | MEDICARE ID | |
| 1133663 | LA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Earl Ray Stagg by the Centers for Medicare & Medicaid Services?
The Earl Ray Stagg has been assigned the NPI (National Provider Identifier) 1508866963 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Earl Ray Stagg is physically located?
The Earl Ray Stagg is situated at the following address: 2800 1St Ave, Lake Charles, LA 706018884.
What is Earl Ray Stagg's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Earl Ray Stagg is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.
When was the Earl Ray Stagg's 1508866963 issued?
The Earl Ray Stagg's 1508866963 was issued on 2005-07-28.
As of what date was the information regarding Earl Ray Stagg, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Earl Ray Stagg, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-11-14.