Individual
DR. DANA ANGELLE FAKOURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8040 GOODWOOD BLVD, BATON ROUGE, LA 70806-7631
(225) 928-0867
(225) 928-1948
Mailing address
8040 GOODWOOD BLVD, BATON ROUGE, LA 70806-7631
(225) 928-0867
(225) 928-1948
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
020840
LA
Other
Enumeration date
08/23/2006
Last updated
03/27/2019
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