Individual
RIKKI MONTICELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1717 OAK PARK BLVD FL 3, LAKE CHARLES, LA 70601-8990
(337) 494-4900
(337) 494-4797
Mailing address
PO BOX 122165, DEPT 2165, DALLAS, TX 75312-2165
(337) 494-2921
(337) 494-6523
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP07909
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2383752
—
LA
Enumeration date
01/14/2015
Last updated
04/29/2022
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