Dr. Juan Manual Bossano
MD | Pediatric Neonatal-Perinatal Medicine | Male
Dr. Juan Manual Bossano, MD is a Lake Charles, Louisiana based Pediatric doctor with medical specialization in
Pediatric Neonatal-Perinatal Medicine.
Current practice location of Dr. Juan Manual Bossano is
2903 1st Ave, Lake Charles, Louisiana - 70601-8809. He can be contacted on phone at
337-478-6480 and fax number 337-474-9637.
Dr. Juan Manual Bossano is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Juan Manual Bossano is
1346231875 which was assigned by NPPES on 03 Nov, 2005 and it was last updated on 08 Jul, 2007.
Dr. Juan Manual Bossano license number is
10107R for Pediatrics Neonatal-Perinatal Medicine (2080N0001X) in Louisiana.
Dr. Juan Manual Bossano is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Dr. Juan Manual Bossano basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neonatal-Perinatal Medicine |
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| Provider Name : | Dr. Juan Manual Bossano |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Dr. Juan Manual Bossano address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2903 1st Ave
Lake Charles, LA, 70601-8809
United States |
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| Phone Number : | 337-478-6480 |
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| Fax Number : | 337-474-9637 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1346231875 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 03 Nov, 2005 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Juan Manual Bossano are as mentioned. Primary taxonomy code for Dr. Juan Manual Bossano, MD is
2080N0001X (Pediatrics Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | Yes | 10107R | LA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Juan Manual Bossano such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 1976318 | MEDICAID | LA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2903 1st Ave
Lake Charles, LA, 70601-8809
United States |
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| Phone Number : | 337-478-6480 |
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| Fax Number : | 337-474-9637 |
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Business Location:
Patients can refer following map for directions to
Dr. Juan Manual Bossano practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.