Individual
DANIELLE ANTOINETTE LABORDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10101 PARK ROWE AVE STE 200, BATON ROUGE, LA 70810-1685
(225) 769-2200
(225) 768-2185
Mailing address
10101 PARK ROWE AVE STE 200, BATON ROUGE, LA 70810-1685
(225) 769-2200
(225) 768-2185
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
320126
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
320126
LICENSE
LA
Enumeration date
06/15/2019
Last updated
03/25/2022
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