Individual
AMANDA LAVIGNE TALBOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4242 HIGHWAY 19 STE C, ZACHARY, LA 70791-3981
(225) 654-6140
(225) 654-6122
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 765-5727
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
202028
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1170771
—
LA
Enumeration date
05/21/2007
Last updated
05/05/2021
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