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NPI Code Detail

MEDICARE: LAWANDA CEASAR M.A.

MEDICARE: LAWANDA CEASAR M.A.
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
1171M00000XCase Manager/Care Coordinator7164LA
2171M00000XCase Manager/Care Coordinator
3101Y00000XCounselor7164LA
4101YP2500XProfessional Counselor7164LA

General Provider Information

NPI Number : 1467823393
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAWANDA CEASAR M.A.
Provider Business Mailing Address
First Line : 617 E MADISON AVE
Second Line :
City : BASTROP
State : LA
Zip : 71220-3833
Country : US
Telephone Number : 318-239-3890
Fax Number :
Provider Business Practice Location Address
First Line : 617 E MADISON AVE
Second Line :
City : BASTROP
State : LA
Zip : 71220-3833
Country : US
Telephone Number : 318-239-3890
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2015
Last Update Date : 02/21/2024

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Directions to “ LAWANDA CEASAR M.A.” Practice Location

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