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NPI Verification

National Provider Identifier: 1386025336

Tyler Jordan Zachary, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

Practice Address

1727 IMPERIAL BLVD BLDG 2

LAKE CHARLES, LA 706055393

Phone: 337-310-3670

NPI Enumeration Date

June 16, 2015

NPI Number

1386025336

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry