Individual
ALLAN L. EDMUNDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2647 S SAINT ELIZABETH BLVD, GONZALES, LA 70737-5021
(225) 647-8511
(225) 644-5213
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 526-0018
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP09233
LA
Other
Enumeration date
02/24/2017
Last updated
03/09/2017
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