Individual
MR. DWAYNE PAUL LABATUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
2647 S SAINT ELIZABETH BLVD STE 100, GONZALES, LA 70737-5019
(225) 765-5500
(225) 341-8206
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 647-8511
(225) 644-5415
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP04308
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1179957
—
LA
Enumeration date
01/17/2006
Last updated
12/29/2020
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