Individual
THERESA BRIGNAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 RUE DE LA VIE ST, SUITE 100, BATON ROUGE, LA 70817-5127
(225) 201-2000
Mailing address
8407 BILLIU ST, BATON ROUGE, LA 70817-4009
(225) 202-5812
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD.301669
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2199099
—
LA
Enumeration date
03/20/2012
Last updated
03/20/2017
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