Individual
DR. HAZEL DEONON SEVERINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5246 BRITTANY DR, BATON ROUGE, LA 70808-9136
(225) 757-4210
(225) 757-4230
Mailing address
5246 BRITTANY DR, BATON ROUGE, LA 70808-9136
(225) 757-4210
(225) 757-4230
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/22/2018
Last updated
12/22/2023
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