Individual
TANYA JO EICHELBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5339 O'DONOVAN DRIVE, BATON ROUGE, LA 70808
(225) 766-4999
(225) 767-4702
Mailing address
5339 O'DONOVAN DRIVE, BATON ROUGE, LA 70808
(225) 766-4999
(225) 767-4702
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
26367
AL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD202292
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1191183
—
LA
Enumeration date
05/23/2007
Last updated
08/13/2015
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