IndividualActive
Clark Gunderson, MD
NPI 1083831887 · Orthopaedic Surgery Physician · Lake Charles, LA
Provider details
- NPI number
- 1083831887
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 12489 (LA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
Practice location
1717 Oak Park Blvd Fl 3
Lake Charles, LA 70601-8990
Phone: (337) 439-0385
Fax: (337) 433-5448
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 2146
Lake Charles, LA 70602-2146
Registry dates
- Enumerated
- 2007-04-20
- Last updated
- 2023-02-20
- Certified
- 2023-02-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.