Individual
MARIAN LORRAINE BELLECCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3333 DRUSILLA LN, SUITE A, BATON ROUGE, LA 70809-2418
(225) 924-3906
(225) 924-3906
Mailing address
207 WESTMARK BLVD, LAFAYETTE, LA 70506-7365
(337) 981-6811
(337) 981-2024
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
014139
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1305766
—
LA
Enumeration date
09/07/2006
Last updated
02/16/2012
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