Individual
LARRY C BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1202 S TYLER ST, COVINGTON, LA 70433-2330
(985) 898-4000
Mailing address
120 INNWOOD DR, COVINGTON, LA 70433-9123
(985) 892-3225
(985) 234-0628
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
RN076646
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN076646
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1569585
—
LA
Enumeration date
03/31/2006
Last updated
08/05/2025
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