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Organization
PEDIATRIC INTENSIVISTS OF LA, LLC
Active
Organization
PEDIATRIC INTENSIVISTS OF LA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SANDERS CRAPANZANO M.D. (MANAGING PARTNER)
(225) 767-6700
Entity
Organization
Contact information
Practice address
7777 HENNESSY BLVD, SUITE 103, BATON ROUGE, LA 70808-4300
(225) 767-6700
(225) 767-6721
Mailing address
7777 HENNESSY BLVD, SUITE 103, BATON ROUGE, LA 70808-4300
(225) 767-6700
(225) 767-6721
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1444979
—
LA
Enumeration date
08/12/2006
Last updated
04/30/2009
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