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Individual

DR. VIMLA MENON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M. D.

Contact information

Practice address
5217 FLANDERS DR, BATON ROUGE, BATON ROUGE, LA 70808-9169
(225) 766-6931
(225) 766-9413
Mailing address
5217 FLANDERS DR, BATON ROUGE, LA 70808-9169
(225) 766-6931
(225) 766-9413

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
07042R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1909009
LA
Enumeration date
06/14/2005
Last updated
07/09/2007
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