Individual
MICHAEL WAYNE PALOMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, RVT
Contact information
Practice address
11421 COTTON LN, BATON ROUGE, LA 70810-2063
(225) 317-1149
Mailing address
11421 COTTON LN, BATON ROUGE, LA 70810-2063
(225) 317-1149
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
J00094
LA
Other
Enumeration date
06/23/2006
Last updated
01/03/2013
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