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NPI Code Detail

MEDICARE: LOUISIANA INDEPENDENT PHYSICIAN ASSOCIATION LLC

MEDICARE: LOUISIANA INDEPENDENT PHYSICIAN ASSOCIATION LLC
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
1207Q00000XFamily Medicine Physician
2207R00000XInternal Medicine Physician
3208D00000XGeneral Practice Physician

General Provider Information

NPI Number : 1578146304
Entity Type Code : Organization
Provider Name (Legal Business Name) : LOUISIANA INDEPENDENT PHYSICIAN ASSOCIATION LLC
Provider Business Mailing Address
First Line : 6965 JEFFERSON HWY
Second Line :
City : BATON ROUGE
State : LA
Zip : 70806-8110
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6965 JEFFERSON HWY
Second Line :
City : BATON ROUGE
State : LA
Zip : 70806-8110
Country : US
Telephone Number : 225-923-2285
Fax Number :
Authorized Official
Title or Position : CEO
Name : DONNIE BATIE
Credential : MD
Telephone Number : 225-341-6678
Provider Enumeration Date : 04/29/2021
Last Update Date : 04/29/2021

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Directions to “LOUISIANA INDEPENDENT PHYSICIAN ASSOCIATION LLC ” Practice Location

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