Individual
MRS. LINDSAY BOURG BRUNSON
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) 761-5191
(225) 761-5450
Mailing address
16777 MEDICAL CENTER DRIVE, BATON ROUGE, LA 70816
(225) 761-5200
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA.200726
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02632247
—
MS
05
—
2375270
—
LA
Enumeration date
06/22/2014
Last updated
12/29/2016
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