Individual
DR. JAN KATHERINE MORELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7850 ANSELMO LN, BATON ROUGE, LA 70810-1101
(225) 768-6419
Mailing address
7850 ANSELMO LN, BATON ROUGE, LA 70810-1101
(225) 768-6419
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD.207576
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2151037
—
LA
Enumeration date
03/18/2011
Last updated
08/25/2015
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