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Individual

MIKETHA LOLLIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8258 S LAREDO AVE, BATON ROUGE, LA 70811-4031
(225) 936-5117
Mailing address
8258 S LAREDO AVE, BATON ROUGE, LA 70811-4031
(225) 936-5117

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Enumeration date
07/03/2023
Last updated
08/01/2023
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