Provider Demographics
NPI:1770846347
Name:CHAPMAN, LOIS BOUCHER (RN)
Entity Type:Individual
Prefix:MRS
First Name:LOIS
Middle Name:BOUCHER
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:LOIS
Other - Middle Name:ANNE
Other - Last Name:CHAPMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:2194 TIFFANY LN
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70611-3310
Mailing Address - Country:US
Mailing Address - Phone:337-855-7822
Mailing Address - Fax:337-475-4820
Practice Address - Street 1:3236 KIRKMAN ST
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70601-3170
Practice Address - Country:US
Practice Address - Phone:337-480-2617
Practice Address - Fax:337-475-4820
Is Sole Proprietor?:No
Enumeration Date:2012-06-19
Last Update Date:2012-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN090453163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health