MEDICARE: HANNAH ISTRE RAMBO DPM

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	390200000X	Student in an Organized Health Care Education/Training Program	PR783	FL

General Provider Information

NPI Number	:	1538850664
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH ISTRE RAMBO DPM

Provider Business Mailing Address
First Line	:	203 W BRENTWOOD BLVD STE 2
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70506-6190
Country	:	US
Telephone Number	:	337-981-4001
Fax Number	:

Provider Business Practice Location Address
First Line	:	203 W BRENTWOOD BLVD STE 2
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70506-6190
Country	:	US
Telephone Number	:	337-981-4001
Fax Number	:

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

Provider Enumeration Date	:	05/18/2023
Last Update Date	:	06/04/2026

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Directions to “ HANNAH ISTRE RAMBO DPM” Practice Location

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