Individual
MRS. ROHINI S VICKNAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2000 OPELOUSAS ST, LAKE CHARLES, LA 70601-2641
(337) 439-9983
(337) 439-8898
Mailing address
806 JEFFERSON TER, NEW IBERIA, LA 70560-5727
(337) 365-4945
(337) 367-3917
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110002929
VA
363A00000X
Physician Assistant
Primary
200209
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2132881
—
LA
Enumeration date
01/23/2009
Last updated
08/06/2024
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