Individual
JAN BENANTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 WOMANS WAY, BATON ROUGE, LA 70817
(225) 924-8189
Mailing address
100 WOMANS WAY, BATON ROUGE, LA 70817-5100
(259) 248-1892
(225) 924-8762
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
019504
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1969869
—
LA
Enumeration date
12/14/2005
Last updated
01/18/2019
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