Individual
MRS. MEGAN PERILLOUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
15790 PAUL VEGA MD DR, HAMMOND, LA 70403-1434
(985) 230-1369
(985) 230-1368
Mailing address
PO BOX 2668, HAMMOND, LA 70404-2668
(985) 230-1683
(985) 230-1617
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP09757
LA
363LF0000X
Family Nurse Practitioner
Primary
AP09757
LA
Other
Enumeration date
12/07/2017
Last updated
09/19/2018
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