Individual
DR. CAROL BAKER MELANCON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5253 DIJON DR, SUITE A, BATON ROUGE, LA 70808-4312
(225) 768-1611
(225) 768-1615
Mailing address
5253 DIJON DR, SUITE A, BATON ROUGE, LA 70808-4312
(225) 768-1611
(225) 768-1615
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
11155R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1666823
—
LA
Enumeration date
03/31/2006
Last updated
09/29/2014
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