MEDICARE: MICHELLE ROCHESTER-MEEKS

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
1	163W00000X	Registered Nurse	RN110619	LA

General Provider Information

NPI Number	:	1649657636
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE ROCHESTER-MEEKS

Provider Business Mailing Address
First Line	:	4800 QUAIL HOLLOW LANE
Second Line	:
City	:	LAKE CHARLES
State	:	LA
Zip	:	70605-5129
Country	:	US
Telephone Number	:	337-855-9023
Fax Number	:	337-855-1829

Provider Business Practice Location Address
First Line	:	4800 QUAIL HOLLOW DR
Second Line	:
City	:	LAKE CHARLES
State	:	LA
Zip	:	70605-5129
Country	:	US
Telephone Number	:	337-855-9023
Fax Number	:	337-855-1829

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/29/2015
Last Update Date	:	04/29/2015

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Directions to “ MICHELLE ROCHESTER-MEEKS ” Practice Location

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