Individual
MICHELLE LEE LATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1935 CANDLEWOOD AVE, BATON ROUGE, LA 70816-1426
(225) 324-6653
Mailing address
1935 CANDLEWOOD AVE, BATON ROUGE, LA 70816-1426
(225) 324-6653
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
905990
LA
Other
Enumeration date
10/18/2021
Last updated
10/18/2021
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