Bradley Lane Jimerson, DPM
NPI #1013579150 in Lake Charles, Louisiana
Provider Information
- NPI Number
- 1013579150
- Entity Type
- Individual
- Name
- Bradley Lane Jimerson, DPM
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Podiatrist - Foot & Ankle Surgery
- Credential
- DPM
- Enumeration Date
- Jun 28, 2019
- Last Updated
- Jul 1, 2022
Practice Location
- Address
- 1747 IMPERIAL BLVD
- City
- Lake Charles
- State
- Louisiana
- ZIP Code
- 70605-5362
- Phone
- (337) 721-7236
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Podiatrist - Foot & Ankle Surgery — Foot & Ankle Surgery |
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