Individual
WILLIAM LAWRENCE BACON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
8080 BLUEBONNET BLVD STE 1000, BATON ROUGE, LA 70810-7827
(225) 924-2424
(225) 408-7980
Mailing address
8080 BLUEBONNET BLVD STE 1000, BATON ROUGE, LA 70810-7827
(225) 924-2424
(225) 408-7980
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10883
LA
Other
Enumeration date
05/10/2021
Last updated
04/01/2024
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