Individual
STEPHANIE VICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5246 BRITTANY DR, BATON ROUGE, LA 70808-9136
(225) 757-4142
Mailing address
5246 BRITTANY DR, BATON ROUGE, LA 70808-9136
(225) 757-4142
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
345700
LA
208M00000X
Hospitalist Physician
Primary
345700
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2585835
—
LA
Enumeration date
03/28/2022
Last updated
09/25/2025
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