Healthcare Provider Details

I. General information

NPI: 1346045705
Provider Name (Legal Business Name): HAROLD J BAYONNE JR MD APMC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2025
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1324 N 7TH ST
WEST MONROE LA
71291-4361
US

IV. Provider business mailing address

1324 N 7TH ST
WEST MONROE LA
71291-4361
US

V. Phone/Fax

Practice location:
  • Phone: 318-855-3291
  • Fax: 318-737-7039
Mailing address:
  • Phone: 318-855-3291
  • Fax: 318-737-7039

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: HAROLD BAYONNE JR.
Title or Position: OWNER
Credential:
Phone: 318-855-3291