Susan Webb Boyd, MD

Individual provider Active NPI Otolaryngology Physician · Lake Charles, LA

NPI 1114908688 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1114908688
Entity type
Individual (NPI type 1)
Primary specialty
Otolaryngology Physician 207Y00000X
License
L019179 (LA)
Practice address
555 S Ryan St
#103
Lake Charles, LA 70601-5724
Phone
(337) 439-0555
Fax
(337) 436-6223
NPI assigned
Nov 10, 2005
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
L019179LAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Keith F. Desonier, M.D, Apmc Otolaryngology Past
since Sep 29, 2019
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X L019179 LA Yes

Addresses

Primary practice location

555 S Ryan St
#103
Lake Charles, LA 70601-5724

Mailing address

555 S Ryan St
#103
Lake Charles, LA 70601-5724
Phone (337) 439-0555

Other identifiers

IdentifierTypeStateIssuer
1388955MedicaidLA

Other providers in Lake Charles, LA

All providers in Lake Charles, LA · Otolaryngology Physician in Louisiana

Sources for this page

Verify at the official NPI Registry.