Healthcare Provider Details

I. General information

NPI: 1467516567
Provider Name (Legal Business Name): MEREDITH ANN WARNER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/21/2006
Last Update Date: 06/29/2021
Certification Date: 06/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9373 BARINGER FOREMAN RD, BLDG 2
BATON ROUGE LA
70817-6200
US

IV. Provider business mailing address

9373 BARINGER FOREMAN RD, BLDG 2
BATON ROUGE LA
70817-6200
US

V. Phone/Fax

Practice location:
  • Phone: 225-754-8888
  • Fax: 225-755-2147
Mailing address:
  • Phone: 225-754-8888
  • Fax: 225-755-2147

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number24539
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code207XX0004X
TaxonomyOrthopaedic Foot and Ankle Surgery Physician
License Number9959
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code207XX0004X
TaxonomyOrthopaedic Foot and Ankle Surgery Physician
License Number24539
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: