Individual
ETHEL LINDA DAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN LVN
Contact information
Practice address
11445 REIGER RD, BATON ROUGE, LA 70809-4556
(225) 932-9867
Mailing address
11445 REIGER RD, BATON ROUGE, LA 70809-4556
(225) 932-9867
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
996214
LA
Other
Enumeration date
03/13/2024
Last updated
03/13/2024
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