MEDICARE: ANNA COLAR

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	171M00000X	Case Manager/Care Coordinator	00000	LA

General Provider Information

NPI Number	:	1922824374
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA COLAR

Provider Business Mailing Address
First Line	:	6026 LANIER DR
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70812-2312
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6026 LANIER DR
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70812-2312
Country	:	US
Telephone Number	:	225-252-4021
Fax Number	:

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

Provider Enumeration Date	:	12/02/2024
Last Update Date	:	12/02/2024

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Directions to “ ANNA COLAR ” Practice Location

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