Timothy Takach
NPI #1386105740 in Lake Charles, Louisiana
Provider Information
- NPI Number
- 1386105740
- Entity Type
- Individual
- Name
- Timothy Takach
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine
- Enumeration Date
- Mar 28, 2019
- Last Updated
- Aug 23, 2022
Practice Location
- Address
- 1525 OAK PARK BLVD
- City
- Lake Charles
- State
- Louisiana
- ZIP Code
- 70601-8849
- Phone
- (337) 494-6767
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Family Medicine |
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