Individual
TAYLOR MALYNN BEAUREGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
7777 HENNESSY BLVD STE 102, BATON ROUGE, LA 70808-4363
(225) 765-2048
(225) 765-1958
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 765-2048
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
333123
LA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
04/01/2022
Last updated
03/24/2023
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