MEDICARE: L'ASIA G'NAI GEORGE RD,LDN

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	133V00000X	Registered Dietitian	3680	LA

General Provider Information

NPI Number	:	1871458844
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	L'ASIA G'NAI GEORGE RD,LDN

Provider Business Mailing Address
First Line	:	6810 JEFFERSON HWY APT 8101
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70806-8186
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6810 JEFFERSON HWY APT 8101
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70806-8186
Country	:	US
Telephone Number	:	225-276-9878
Fax Number	:

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

Provider Enumeration Date	:	12/22/2025
Last Update Date	:	12/22/2025

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