| Doctor Name: | DR. COREY G FOSTER |
| NPI Number: | 1669693867 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 2008081401 |
| Business Practice Address: | 600 Dr Michael Debakey Dr Lake Charles, LA - 706015727 |
| Business Phone Number: | 3374363813 |
| Business Fax Number: | 3374390214 |
| Mailing Address: | 501 Dr Michael Debakey Dr, LAKE CHARLES |
| State: | LA |
| Postal Code: | 706015724 |
| Phone Number: | 3373128360 |
| Fax Number: | 3313126708 |
| NPI Enumeration Date: | 05/02/2007 |
| NPI Last Update Date: | 02/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 2008081401 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |