Individual
JACOB DWAYNE LABATUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8585 PICARDY AVE STE 110, BATON ROUGE, LA 70809-3749
(225) 767-0822
(225) 769-5424
Mailing address
39438 HIGHWAY 929, PRAIRIEVILLE, LA 70769-4927
(225) 323-3999
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN154204
LA
363L00000X
Nurse Practitioner
Primary
226191
LA
Other
Enumeration date
06/01/2022
Last updated
05/28/2024
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