Organization
BRYAN J BIENVENU MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN BIENVENU (DOCTOR)
(225) 767-1311
Entity
Organization
Contact information
Practice address
LOUISIANA HEMATOLOGY ONCOLOGY ASSOC, 4950 ESSEN LANE, BATON ROUGE, LA 70809
(225) 767-1311
(225) 767-1335
Mailing address
LOUISIANA HEMATOLOGY ONCOLOGY ASSOC, 4950 ESSEN LANE, BATON ROUGE, LA 70809
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
022546
LA
332900000X
Non-Pharmacy Dispensing Site
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1932309
OTHER ID NUMBER
—
Enumeration date
12/21/2007
Last updated
12/21/2007
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