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Organization
CHILD HEALTH AMERICA PHYSICIAN GROUP
Active
Organization
CHILD HEALTH AMERICA PHYSICIAN GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIONEL CRAIG GUITREAU (PRESIDENT)
(225) 268-8862
Entity
Organization
Contact information
Practice address
3324 FLORIDA BLVD, BATON ROUGE, LA 70806
(225) 343-1565
(225) 343-1568
Mailing address
3324 FLORIDA BLVD, BATON ROUGE, LA 70806
(225) 343-1565
(225) 343-1568
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1442852
—
LA
Enumeration date
09/22/2006
Last updated
08/22/2020
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