Organization
LOUISIANA DERMATOLOGY ASSOCIATES, LLC
Active
Organization
LOUISIANA DERMATOLOGY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLENDA M IMES (PRACTICE MANAGER)
(225) 490-0812
Entity
Organization
Contact information
Practice address
10154 JEFFERSON HWY, BATON ROUGE, LA 70809-2725
(225) 490-0812
(225) 490-0813
Mailing address
10154 JEFFERSON HWY, BATON ROUGE, LA 70809-2725
(225) 490-0812
(225) 490-0813
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
10/19/2005
Last updated
03/31/2009
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