Individual
LANEISHA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4536 RALEIGH DR, BATON ROUGE, LA 70814-7249
(225) 275-0902
Mailing address
4536 RALEIGH DR, BATON ROUGE, LA 70814-7249
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
03/14/2018
Last updated
03/14/2018
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