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NPI Code Detail

MEDICARE: KAREN DANTIN MD

MEDICARE:   KAREN  DANTIN  MD
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 Physician017815LA

General Provider Information

NPI Number : 1831153634
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN DANTIN MD
Provider Business Mailing Address
First Line : 15049 FLORIDA BLVD
Second Line :
City : BATON ROUGE
State : LA
Zip : 70819-2602
Country : US
Telephone Number : 225-218-0159
Fax Number : 225-218-1233
Provider Business Practice Location Address
First Line : 15049 FLORIDA BLVD
Second Line :
City : BATON ROUGE
State : LA
Zip : 70819-2602
Country : US
Telephone Number : 225-218-0159
Fax Number : 225-218-1233
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2006
Last Update Date : 07/08/2021

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Directions to “ KAREN DANTIN MD” Practice Location

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