Individual
RENATA PILATOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
710 VERSAILLES BLVD, ALEXANDRIA, LA 71303-2351
(318) 449-4474
Mailing address
710 VERSAILLES BLVD, ALEXANDRIA, LA 71303-2351
(318) 449-4474
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
11367R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1662721
—
LA
Enumeration date
10/28/2005
Last updated
02/23/2022
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