Individual
ALICIA MARIE HARPOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4950 ESSEN LN STE 400, BATON ROUGE, LA 70809-3738
(225) 765-1765
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 765-5727
(225) 765-4278
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
200688
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09279581
—
MS
05
—
2356801
—
LA
Enumeration date
01/21/2014
Last updated
03/23/2021
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