Individual
STEFANIE EISERLOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7777 HENNESSY BLVD STE 211, BATON ROUGE, LA 70808-4365
(225) 765-7163
(225) 765-7164
Mailing address
7777 HENNESSY BLVD STE 211, BATON ROUGE, LA 70808-4365
(225) 765-7163
(225) 765-7164
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
323611
LA
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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