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NPI Code Detail

MEDICARE: MICHELLE LYNDELL MINOR NP

MEDICARE: MICHELLE LYNDELL MINOR NP
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
1363LF0000XFamily Nurse Practitioner04977LA
2363LP0808XPsychiatric/Mental Health Nurse Practitioner04977LA

General Provider Information

NPI Number : 1558483560
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE LYNDELL MINOR NP
Provider Business Mailing Address
First Line : PO BOX 66558
Second Line :
City : BATON ROUGE
State : LA
Zip : 70896-6558
Country : US
Telephone Number : 225-922-2700
Fax Number : 225-296-3034
Provider Business Practice Location Address
First Line : 2751 WOODDALE BLVD STE 2
Second Line :
City : BATON ROUGE
State : LA
Zip : 70805-7567
Country : US
Telephone Number : 225-925-1906
Fax Number : 855-473-0115
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2007
Last Update Date : 08/25/2025

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