Provider Demographics
NPI:1134547219
Name:LEE J. MONLEZUN, MD
Entity type:Organization
Organization Name:LEE J. MONLEZUN, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SABRA
Authorized Official - Middle Name:BROWN
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-439-3205
Mailing Address - Street 1:801 W BAYOU PINES DR
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70601-7076
Mailing Address - Country:US
Mailing Address - Phone:337-439-3205
Mailing Address - Fax:337-217-1572
Practice Address - Street 1:801 W BAYOU PINES DR
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70601-7076
Practice Address - Country:US
Practice Address - Phone:337-439-3205
Practice Address - Fax:337-217-1572
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-04
Last Update Date:2014-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Multi-Specialty