Individual
JO'ANN LYNETTE MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4615 GOVERNMENT ST, BATON ROUGE, LA 70806-5922
(225) 362-5354
(225) 362-5355
Mailing address
4615 GOVERNMENT ST, BATON ROUGE, LA 70806-5922
(225) 362-5354
(225) 362-5355
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
960677
LA
Other
Enumeration date
07/27/2011
Last updated
07/27/2011
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