# KAREN CARMILLE DANTIN MEDICAL CLINIC LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Karen C. Dantin MD Medical Clinic LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487166815
- **Authorized official:** KAREN DANTIN MD (DOCTOR)
- **Authorized official phone:** (225) 218-0159

## Contact information

- **Practice address:** 15049 FLORIDA BLVD, BATON ROUGE, LA 70819-2602
- **Practice address phone:** (225) 218-0159
- **Practice address fax:** (225) 218-1233
- **Mailing address:** 15049 FLORIDA BLVD, BATON ROUGE, LA 70819-2602
- **Mailing address phone:** (225) 218-0159
- **Mailing address fax:** (225) 218-1233

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 017815 | LA | Yes |

## Other

- **Enumeration date:** 10/25/2017
- **Last updated:** 07/08/2021