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NPI Code Detail

MEDICARE: MS. STEPHANIE LYNN CARTER

MEDICARE:  MS. STEPHANIE LYNN CARTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172A00000XDriver

General Provider Information

NPI Number : 1194918250
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. STEPHANIE LYNN CARTER
Provider Business Mailing Address
First Line : 809 N 31ST ST
Second Line :
City : BATON ROUGE
State : LA
Zip : 70802-2632
Country : US
Telephone Number : 225-389-2812
Fax Number : 225-389-2812
Provider Business Practice Location Address
First Line : 809 N 31ST ST
Second Line :
City : BATON ROUGE
State : LA
Zip : 70802-2632
Country : US
Telephone Number : 225-389-2812
Fax Number : 225-389-2812
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2007
Last Update Date : 08/22/2007

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Directions to “ MS. STEPHANIE LYNN CARTER ” Practice Location

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