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NPI Code Detail

MEDICARE: PAIGE E MORVANT PA-C, LAT, ATC

MEDICARE: PAIGE E MORVANT PA-C, LAT, ATC
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
1363A00000XPhysician Assistant350987LA

General Provider Information

NPI Number : 1750836938
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAIGE E MORVANT PA-C, LAT, ATC
Provider Business Mailing Address
First Line : 101 ELLINGTON DR
Second Line :
City : THIBODAUX
State : LA
Zip : 70301-8046
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 602 N ACADIA RD
Second Line :
City : THIBODAUX
State : LA
Zip : 70301-4823
Country : US
Telephone Number : 985-414-0592
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2016
Last Update Date : 03/10/2026

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Directions to “ PAIGE E MORVANT PA-C, LAT, ATC” Practice Location

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