Healthcare Provider Details

I. General information

NPI: 1396457875
Provider Name (Legal Business Name): LATONA YVETTE LENARD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/16/2022
Last Update Date: 12/16/2022
Certification Date: 12/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 NORTH BLVD
BATON ROUGE LA
70806-3825
US

IV. Provider business mailing address

15650 RHONDA AVE
BATON ROUGE LA
70816-1374
US

V. Phone/Fax

Practice location:
  • Phone: 225-655-6422
  • Fax:
Mailing address:
  • Phone: 225-279-8238
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number226969
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: