Individual
MRS. KEYTHA LUBIRTA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
5439 AIRLINE HWY, BATON ROUGE, LA 70805-1712
(225) 358-2251
(225) 358-2282
Mailing address
5439 AIRLINE HWY, BATON ROUGE, LA 70805-1712
(225) 582-2513
(225) 757-4093
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP07409
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2346091
—
LA
Enumeration date
08/26/2013
Last updated
05/07/2021
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