Organization
FYZICAL OF BATON ROUGE, LLC
Active
Parent organization
LOUISIANA EAR, NOSE, THROAT AND SINUS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LOUISIANA EAR, NOSE, THROAT AND SINUS, LLC
Authorized official
EDIE TUCKER (DIRECTOR OF OPERATIONS)
(225) 408-6900
Entity
Organization
Contact information
Practice address
5258 DIJON DR, BATON ROUGE, LA 70808-4311
(225) 408-6900
(225) 408-6946
Mailing address
8080 BLUEBONNET BLVD STE 2222, BATON ROUGE, LA 70810-7828
(225) 408-6900
(225) 408-6946
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/22/2019
Last updated
04/22/2019
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