Individual
VICTORIA LYNN DUPUY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5000 HENNESSY BLVD, BATON ROUGE, LA 70808-4375
(225) 765-8819
Mailing address
8230 SUMMA AVE STE D, BATON ROUGE, LA 70809-3421
(225) 757-0552
(225) 763-9997
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA.200563
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2317610
—
LA
Enumeration date
09/25/2012
Last updated
02/08/2013
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