Individual
LADONNA RAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
11445 REIGER RD, BATON ROUGE, LA 70809-4556
(225) 932-9867
(225) 932-9870
Mailing address
PO BOX 264, PORT ALLEN, LA 70767-0264
(225) 247-3356
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
280804
LA
Other
Enumeration date
06/06/2019
Last updated
06/06/2019
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