Individual
LAWANDA JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2445 79TH AVE, BATON ROUGE, LA 70807-5660
(225) 663-0288
Mailing address
2445 79TH AVE, BATON ROUGE, LA 70807-5660
(225) 663-0288
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
290099
LA
Other
Enumeration date
03/31/2016
Last updated
03/31/2016
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