Individual
KATHERINE WILTZ LAVIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5247 DIDESSE DR, BATON ROUGE, LA 70808-9153
(225) 214-0907
(225) 214-0908
Mailing address
5246 BRITTANY DR, BATON ROUGE, LA 70808-9136
(225) 757-4080
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD.205401
LA
207RI0200X
Infectious Disease Physician
Primary
34246
AL
Other
Enumeration date
03/18/2011
Last updated
09/22/2021
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