Organization
PEDIATRIC CENTER FOR RESPIRATORY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA W THOMAS (ADMINISTRATOR)
(225) 413-8653
Entity
Organization
Contact information
Practice address
2355 DRUSILLA LN, BATON ROUGE, LA 70809-1443
(225) 413-8653
(225) 231-1995
Mailing address
2355 DRUSILLA LN, BATON ROUGE, LA 70809-1443
(225) 413-8653
(225) 231-1995
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
019485
LA
Other
Enumeration date
10/07/2015
Last updated
10/07/2015
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