Individual
DR. CHARLOTTE ASTRID VIVIENNE VONN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2106 LOOP RD, WINNSBORO, LA 71295-3344
(318) 435-9411
Mailing address
200 W 134TH PL, CUT OFF, LA 70345-4143
(985) 325-9333
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD.207500
LA
207Q00000X
Family Medicine Physician
MD.207500
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14679366
CAQH
—
01
—
1D1629
MEDICARE
LA
05
—
2329260
—
LA
01
—
P02480315
RR MEDICARE
LA
Enumeration date
04/03/2013
Last updated
02/24/2025
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