Individual
NARCISA DEL JESUS INTRIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 PINECREST DR., PINEVILLE, LA 71360-4276
(318) 641-2000
(318) 641-2297
Mailing address
4100 WATERFORD DR, ALEXANDRIA, LA 71303-2950
(318) 419-4745
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L#026304
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29903
SUBSTANCE ABUSED CONTROL
LA
01
—
L#026304
MEDICAL LICENSE
LA
Enumeration date
06/26/2007
Last updated
03/07/2023
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