Organization
MICHAEL H ROMAGUERA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CRISTEN CLAIRE BEAUREGARD (INSURANCE COORDINATOR)
(225) 261-4493
Entity
Organization
Contact information
Practice address
11055 SHOE CREEK DR, BATON ROUGE, LA 70818-4022
(225) 261-4493
(225) 261-8416
Mailing address
11055 SHOE CREEK DR, BATON ROUGE, LA 70818-4022
(225) 261-4493
(225) 261-8416
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
017750
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1348091
—
LA
05
—
1942189
—
LA
01
—
930114662
RRM LAKE AFTER HOURS
LA
Enumeration date
10/16/2007
Last updated
08/06/2008
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