Individual
LAURA DOOLITTLE WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
16777 MEDICAL CENTER DR, BATON ROUGE, LA 70816-3254
(225) 761-5611
Mailing address
16777 MEDICAL CENTER DR, BATON ROUGE, LA 70816-3254
(225) 761-5611
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110002689
VA
363AM0700X
Medical Physician Assistant
MA054793
PA
363AM0700X
Medical Physician Assistant
Primary
PA.200701
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01802865
—
MS
05
—
1447437033
—
VA
05
—
2383124
—
LA
01
—
MA054793
LICENSE
PA
Enumeration date
01/25/2008
Last updated
03/07/2023
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