Organization
LOUISIANA INTERNAL MEDICINE AND PEDIATRIC ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENYATTA SHAMLIN-HAYNES MD (PART OWNER)
(225) 405-6381
Entity
Organization
Contact information
Practice address
7150 JEFFERSON HWY, BATON ROUGE, LA 70806-8128
(225) 216-7885
(225) 216-7886
Mailing address
7150 JEFFERSON HWY, BATON ROUGE, LA 70806-8128
(225) 216-7885
(225) 216-7886
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
LA025911
LA
Other
Enumeration date
04/03/2017
Last updated
04/03/2017
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