Individual
DRAKE ERIC BELLANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 RUE DE LA VIE ST STE 513, BATON ROUGE, LA 70817
(225) 924-8947
(225) 924-8948
Mailing address
500 RUE DE LA VIE ST STE 513, BATON ROUGE, LA 70817-5129
(225) 924-8947
(225) 924-8948
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
00017404
AL
208600000X
Surgery Physician
Primary
11666R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1697486
—
LA
Enumeration date
07/06/2006
Last updated
08/23/2018
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