Individual
BRIAN LOUIS CICERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
9103 JEFFERSON HWY, BATON ROUGE, LA 70809-2440
(225) 927-1190
(225) 706-0160
Mailing address
9103 JEFFERSON HWY, BATON ROUGE, LA 70809-2440
(225) 927-1190
(225) 706-0160
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN088663
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1109886
—
LA
01
—
P00018897
RR MEDICARE
LA
Enumeration date
12/06/2005
Last updated
05/06/2014
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