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NPI Code Detail

MEDICARE: CHRISTINA ELIZABETH PRIMO AU.D.

MEDICARE: CHRISTINA ELIZABETH PRIMO AU.D.
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
1231H00000XAudiologistAUD003873GA
2231H00000XAudiologist6713LA

General Provider Information

NPI Number : 1588950620
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA ELIZABETH PRIMO AU.D.
Provider Business Mailing Address
First Line : 7373 PERKINS RD
Second Line :
City : BATON ROUGE
State : LA
Zip : 70808-4373
Country : US
Telephone Number : 225-769-4044
Fax Number : 225-246-4371
Provider Business Practice Location Address
First Line : 7373 PERKINS RD
Second Line :
City : BATON ROUGE
State : LA
Zip : 70808-4373
Country : US
Telephone Number : 225-769-4044
Fax Number : 225-246-4371
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2011
Last Update Date : 01/18/2022

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