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Individual

ROBERTA CARONA VICARI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
8415 GOODWOOD BLVD, SUITE 202, BATON ROUGE, LA 70806-7851
(225) 765-8013
(225) 765-2033
Mailing address
8415 GOODWOOD BLVD, SUITE 202, BATON ROUGE, LA 70806-7851
(225) 765-8013
(225) 765-2033

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD.016710
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1377007
LA
Enumeration date
06/19/2009
Last updated
05/17/2021
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