Individual
DR. ANNARITA NICOSIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8415 GOODWOOD BLVD STE 202B, BATON ROUGE, LA 70806-7851
(225) 765-8988
(225) 765-1173
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 765-8988
Taxonomy
Speciality
Code
Description
License number
State
207SM0001X
Molecular Genetic Pathology (Medical Genetics) Physician
Primary
330510
LA
390200000X
Student in an Organized Health Care Education/Training Program
MT209482
PA
Other
Enumeration date
06/25/2015
Last updated
11/01/2022
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