Individual
REBECCA HAGEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MIDWIFE
Contact information
Practice address
843 MILLING AVE, LULING, LA 70070-4442
(985) 785-5800
(985) 785-5811
Mailing address
843 MILLING AVE, LULING, LA 70070-4442
(985) 785-5800
(985) 785-5811
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MDW.200002
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MDW.20002
STATE LICENSE
LA
Enumeration date
10/28/2008
Last updated
10/28/2008
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