MEDICARE: SKYLAR ALEXIS CULMONE PA-C

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	363AS0400X	Surgical Physician Assistant	347904	LA
2	363AM0700X	Medical Physician Assistant	347904	LA

General Provider Information

NPI Number	:	1841184751
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SKYLAR ALEXIS CULMONE PA-C

Provider Business Mailing Address
First Line	:	5444 BURBANK DR
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70820-4011
Country	:	US
Telephone Number	:	225-388-6900
Fax Number	:	225-761-5702

Provider Business Practice Location Address
First Line	:	5444 BURBANK DR
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70820-4011
Country	:	US
Telephone Number	:	225-388-6900
Fax Number	:

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

Provider Enumeration Date	:	06/05/2025
Last Update Date	:	01/06/2026

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