Organization
PEDIATRIC INTENSIVISTS OF LA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SANDERS CRAPANZANO M.D. (MANAGING PARTNER)
(225) 767-6700
Entity
Organization
Contact information
Practice address
7777 HENNESSY BLVD, SUITE 103, BATON ROUGE, LA 70808-4300
(225) 767-6700
(225) 767-6721
Mailing address
7777 HENNESSY BLVD, SUITE 103, BATON ROUGE, LA 70808-4300
(225) 767-6700
(225) 767-6721
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1444979
—
LA
Enumeration date
08/12/2006
Last updated
04/30/2009
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